Arrhythmias originating from the right ventricular outflow tract: How to distinguish "malignant" from "benign"?

被引:63
作者
Shimizu, Wataru [1 ]
机构
[1] Natl Cardiovasc Ctr, Dept Internal Med, Div Cardiol, Suita, Osaka 5658565, Japan
关键词
Ventricular fibrillation; Polymorphic ventricular tachycardia; Sudden death; Catheter ablation; SHORT-COUPLED VARIANT; ELECTROCARDIOGRAPHIC PREDICTORS; RADIOFREQUENCY ABLATION; CATHETER ABLATION; TACHYCARDIA; FIBRILLATION; ENTITY;
D O I
10.1016/j.hrthm.2009.06.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Idiopathic ventricular tachycardia (VT) originating from the right ventricular outflow tract (RVOT) in patients without structural heart diseases is generally considered as a benign ventricular arrhythmia (VA). However, "malignant" VA, ventricular fibrillation (VF), and/or polymorphic VT are occasionally initiated by VT or ventricular premature contraction (VPC) originating from the RVOT. In this review article, previous reports describing the malignant form of idiopathic RVOT VT are re-viewed, and it is discussed how to distinguish the malignant form from the "benign" form of idiopathic VT originating from the RVOT.
引用
收藏
页码:1507 / 1511
页数:5
相关论文
共 19 条
[1]   Radiofrequency ablation of idiopathic ventricular fibrillation guided by noncontact mapping [J].
Betts, TR ;
Yue, A ;
Roberts, PR ;
Morgan, JM .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2004, 15 (08) :957-959
[2]   Three-dimensional electroanatomical voltage mapping and histologic evaluation of myocardial substrate in right ventricular outflow tract tachycardia [J].
Corrado, Domenico ;
Basso, Cristina ;
Leoni, Loira ;
Tokajuk, Barbara ;
Turrini, Pietro ;
Bauce, Barbara ;
Migliore, Federico ;
Pavei, Andrea ;
Tarantini, Giuseppe ;
Napodano, Massimo ;
Ramondo, Angelo ;
Buja, Gianfranco ;
Lliceto, Sabino ;
Thiene, Gaetano .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 51 (07) :731-739
[3]   Morphologic Variants of Familial Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy A Genetics-Magnetic Resonance Imaging Correlation Study [J].
Dalal, Darshan ;
Tandri, Harikrishna ;
Judge, Daniel P. ;
Amat, Nuria ;
Macedo, Robson ;
Jain, Rahul ;
Tichnell, Crystal ;
Daly, Amy ;
James, Cynthia ;
Russell, Stuart D. ;
Abraham, Theodore ;
Bluemke, David A. ;
Calkins, Hugh .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 53 (15) :1289-1299
[4]   Electrocardiographic patterns of superior right ventricular outflow tract tachycardias: Distinguishing septal and free-wall sites of origin [J].
Dixit, S ;
Gerstenfeld, EP ;
Callans, DJ ;
Marchlinski, FE .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2003, 14 (01) :1-7
[5]   Mapping and ablation of idiopathic ventricular fibrillation [J].
Haïssaguerre, M ;
Shoda, M ;
Jaïs, P ;
Nogami, A ;
Shah, DC ;
Kautzner, J ;
Arentz, T ;
Kalushe, D ;
Lamaison, D ;
Griffith, M ;
Cruz, F ;
de Paola, A ;
Gaïta, F ;
Hocini, M ;
Garrigue, S ;
Macle, L ;
Weerasooriya, R ;
Clémenty, J .
CIRCULATION, 2002, 106 (08) :962-967
[6]   Right and left ventricular outflow tract tachycardias: Evidence for a common electrophysiologic mechanism [J].
Iwai, Sei ;
Cantillon, Daniel J. ;
Kim, Robert J. ;
Markowitz, Steven M. ;
Mittal, Suneet ;
Stein, Kenneth M. ;
Shah, Bindi K. ;
Yarlagadda, Ravi K. ;
Cheung, Jim W. ;
Tan, Vivian R. ;
Lerman, Bruce B. .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2006, 17 (10) :1052-1058
[7]   A case of vagally mediated idiopathic ventricular fibrillation [J].
Kataoka, Masaharu ;
Takatsuki, Seiji ;
Tanimoto, Kojiro ;
Akaishi, Makoto ;
Ogawa, Satoshi ;
Mitamura, Hideo .
NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE, 2008, 5 (02) :111-115
[8]   Electrocardiographic predictors of long-term outcomes after radiofrequency ablation in patients with right-ventricular outflow tract tachycardia [J].
Krittayaphong, Rungroj ;
Sriratanasathavorn, Charn ;
Dumavibhat, Chatkanok ;
Pumprueg, Sachana ;
Boonyapisit, Warangkana ;
Pooranawattanakul, Sukanya ;
Phrudprisan, Suteera ;
Kangkagate, Charuwan .
EUROPACE, 2006, 8 (08) :601-606
[9]   SHORT-COUPLED VARIANT OF TORSADE-DE-POINTES - A NEW ELECTROCARDIOGRAPHIC ENTITY IN THE SPECTRUM OF IDIOPATHIC VENTRICULAR TACHYARRHYTHMIAS [J].
LEENHARDT, A ;
GLASER, E ;
BURGUERA, M ;
NURNBERG, M ;
MAISONBLANCHE, P ;
COUMEL, P .
CIRCULATION, 1994, 89 (01) :206-215
[10]   Malignant idiopathic ventricular fibrillation "cured" by radiofrequency ablation [J].
Naik, Nitish ;
Juneja, Rajnish ;
Sharma, Gautam ;
Yadav, Rakesh ;
Anandraja, S. .
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2008, 23 (02) :143-148