Idiopathic ventricular tachycardia--characterisation and radiofrequency ablation.

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dc.contributor.authorLokhandwala, Y Yen_US
dc.contributor.authorSmeets, J Len_US
dc.contributor.authorRodriguez, L Men_US
dc.contributor.authorMetzger, Jen_US
dc.contributor.authorGrekas, G Fen_US
dc.contributor.authorChaginikolaou, Hen_US
dc.contributor.authorMeijer, Aen_US
dc.contributor.authorWellens, H Jen_US
dc.date.accessioned1994-11-01en_US
dc.date.accessioned2009-05-27T04:24:45Z
dc.date.available1994-11-01en_US
dc.date.available2009-05-27T04:24:45Z
dc.date.issued1994-11-01en_US
dc.description.abstractForty patients (14 women and 26 men; mean age 40 +/- 13 years, range 7 to 60) diagnosed to have idiopathic ventricular tachycardia (right ventricular 28, left ventricular 12) underwent electrophysiologic study and radiofrequency catheter ablation. Echocardiography, signal averaging, magnetic resonance imaging and cardiac catheterisation with angiography were used as indicated to rule out identifiable underlying etiologies. Gross localisation of the area of origin of the ventricular tachycardia from the surface electrocardiogram could be made in all cases. Accurate localisation of the site of origin was done by activation mapping and pace mapping. Radiofrequency application was successful in achieving a cure in 34 (85%) patients, with a mean of 8.3 +/- 4.7 energy applications and a fluoroscopy time of 38 +/- 19 minutes. Unsuccessful cases were characterised by wide and slurred QRS complexes during ventricular tachycardia, possibly indicating a deeper intramyocardial or epicardial site of origin of the tachycardia. Radiofrequency ablation appears to be the treatment of choice for symptomatic idiopathic ventricular tachycardia, having a high success and safety rate.en_US
dc.description.affiliationDepartment of Cardiology, Academic Hospital Maastricht, The Netherlands.en_US
dc.identifier.citationLokhandwala YY, Smeets JL, Rodriguez LM, Metzger J, Grekas GF, Chaginikolaou H, Meijer A, Wellens HJ. Idiopathic ventricular tachycardia--characterisation and radiofrequency ablation. Indian Heart Journal. 1994 Nov-Dec; 46(6): 281-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/4837
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAdulten_US
dc.subject.meshCardiac Pacing, Artificialen_US
dc.subject.meshCatheter Ablationen_US
dc.subject.meshChilden_US
dc.subject.meshElectrocardiographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart Catheterizationen_US
dc.subject.meshHeart Conduction System --surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshTachycardia, Ventricular --diagnosisen_US
dc.titleIdiopathic ventricular tachycardia--characterisation and radiofrequency ablation.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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