Premature ventricular contractions and tachycardia in a structurally normal heart: Idiopathic PVC and VT

被引：4

作者：

Busch S. ^{[1
]}

Eckardt L. ^{[2
]}

Sommer P. ^{[4
]}

Meyer C. ^{[5
]}

Bonnemeier H. ^{[6
]}

Thomas D. ^{[7
,8
,9
]}

Neuberger H.-R. ^{[10
]}

Tilz R.R. ^{[11
]}

Steven D. ^{[12
]}

von Bary C. ^{[13
]}

Kuniss M. ^{[14
]}

Voss F. ^{[15
]}

Estner H.L. ^{[3
]}

机构：

[1] II. Med. Klinik, Klinik für Kardiologie, Angiologie, Pneumologie, Klinikum Coburg, Ketschendorfer Str. 33, Coburg

[2] Klinik für Kardiologie II – Rhythmologie, Universitätsklinikum Münster, Münster

[3] Medizinische Klinik und Poliklinik I, Klinikum der Universität München, Ludwig-Maximilians-Universität München (LMU München), München

[4] Klinik für Elektrophysiologie/Rhythmologie, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen

[5] Klinik für Kardiologie mit Schwerpunkt Elektrophysiologie, Universitäres Herzzentrum Hamburg, Hamburg

[6] Klinik für Innere Medizin III, Kardiologie, Angiologie, Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel

[7] Department of Cardiology, Medical University Hospital, Heidelberg

[8] HCR (Heidelberg Center for Heart Rhythm Disorders), Heidelberg

[9] partner site Heidelberg/Mannheim, DZHK (German Center for Cardiovascular Research), Heidelberg

[10] Kardiologie-Rhythmologie, Klinikum Traunstein, Traunstein

[11] Medizinische Klinik II (Kardiologie, Angiologie, Intensivmedizin) – Universitäres Herzzentrum Lübeck, Universitätsklinikum Schleswig-Holstein (UKSH), Lübeck

[12] Herzzentrum, Abteilung für Elektrophysiologie, Uniklinik Köln, Köln

[13] Medizinische Klinik I, Rotkreuzklinikum München – Akademisches Lehrkrankenhaus der Technischen Universität München, München

[14] Abteilung für Kardiologie, Kerckhoff-Klinik GmbH, Bad Nauheim

[15] Innere Medizin 3, Krankenhaus der Barmherzigen Brüder Trier, Trier

来源：

Herzschrittmachertherapie + Elektrophysiologie | 2019年 / 30卷 / 2期

关键词：

Ablation; Idiopathic; Mapping; Pathophysiology; Ventricular arrhythmias;

D O I：

10.1007/s00399-019-0607-1

中图分类号：

学科分类号：

摘要：

Premature ventricular contractions (PVC) are a common, often incidental and mostly benign finding. Treatment is indicated in frequent and symptomatic PVC or in cases of worsening of left ventricular function. Idiopathic ventricular tachycardia (VT) is mostly found in patients with a structurally healthy heart. These PVC/VT usually have a focal origin. The most likely mechanism is delayed post-depolarization. Localization of the origin is based on the creation of an activation map with or without combination of pace mapping. Idiopathic PVC/VT are most frequently located on the outflow tracts of the right and left ventricles, including the aortic root. Other typical locations include the annulus of the tricuspid or mitral valve, papillary muscles and Purkinje fibers. Catheter ablation is an alternative to antiarrhythmic medication in symptomatic monomorphic PVC/VT. The success rate is good whereby mapping and ablation can often represent a challenge. This article is the fifth part of a series dedicated to specific advanced training in the field of special rhythmology and invasive electrophysiology. It describes the pathophysiological principles, types and typical findings that can be obtained during an electrophysiological investigation. © 2019, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

引用

页码：212 / 224

页数：12

共 85 条

[1]

Aliot E.M., Stevenson W.G., Almendral-Garrote J.M., Et al., EHRA/HRS expert consensus on catheter ablation of ventricular arrhythmias: developed in a partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC), and the Heart Rhythm Society (HRS)

[2]

in collaboration with the American College of Cardiology (ACC) and the American Heart Association (AHA), Europace, (2009)

[3]

Buxton A.E., Calkins H., Et al., ACC/AHA/HRS 2006 key data elements and definitions for electrophysiological studies and procedures: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards (ACC/AHA/HRS Writing Committee to Develop Data Standards on Electrophysiology), Circulation, 114, pp. 2534-2570, (2006)

[4]

Aquaro G.D., Pingitore A., Strata E., Et al., Cardiac magnetic resonance predicts outcome in patients with premature ventricular complexes of left bundle branch block morphology, J Am Coll Cardiol, 56, pp. 1235-1243, (2010)

[5]

Asirvatham S.J., Correlative anatomy for the invasive electrophysiologist: outflow tract and supravalvar arrhythmia, J Cardiovasc Electrophysiol, 20, pp. 955-968, (2009)

[6]

Ataklte F., Erqou S., Laukkanen J., Kaptoge S., Meta-analysis of ventricular premature complexes and their relation to cardiac mortality in general populations, Am J Cardiol, 112, pp. 1263-1270, (2013)

[7]

Azegami K., Wilber D.J., Arruda M., Et al., Spatial resolution of pacemapping and activation mapping in patients with idiopathic right ventricular outflow tract tachycardia, J Cardiovasc Electrophysiol, 16, pp. 823-829, (2005)

[8]

Bala R., Marchlinski F.E., Electrocardiographic recognition and ablation of outflow tract ventricular tachycardia, Heart Rhythm, 4, pp. 366-370, (2007)

[9]

Baman T.S., Lange D.C., Ilg K.J., Et al., Relationship between burden of premature ventricular complexes and left ventricular function, Heart Rhythm, 7, pp. 865-869, (2010)

[10]

Ban J.-E., Park H.-C., Park J.-S., Et al., Electrocardiographic and electrophysiological characteristics of premature ventricular complexes associated with left ventricular dysfunction in patients without structural heart disease, Europace, 15, pp. 735-741, (2013)

← 1 2 3 4 5 6 7 8 9 →