Entrance site of the slow conduction zone of verapamil-sensitive idiopathic left ventricular tachycardia: Evidence supporting macroreentry in the Purkinje system

被引：22

作者：

Lai, LP ^{[1
]}

Lin, JL ^{[1
]}

Hwang, JJ ^{[1
]}

Huang, SKS ^{[1
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 10018, Taiwan

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1998年 / 9卷 / 02期

关键词：

idiopathic left ventricular tachycardia; entrainment study; radiofrequency catheter ablation;

D O I：

10.1111/j.1540-8167.1998.tb00898.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Entrance Site in ILVT. The entrance site of the slow conduction zone was identified by entrainment study in an 18 year-old woman with verapamil-sensitive idiopathic left ventricular tachycardia, Radiofrequency catheter ablation at this site eliminated the tachycardia. The entrance site was at a mid-septal location and was more than 2 cm away from the exit site. Electrophysiologic findings suggested macroreentry in the Purkinje system as the mechanism of idiopathic left ventricular tachycardia.

引用

页码：184 / 190

页数：7

共 16 条

[1] SURGICAL-TREATMENT OF ARRHYTHMIAS [J].

GALLAGHER, JJ ;

SELLE, JG ;

SVENSON, RH ;

FEDOR, JM ;

ZIMMERN, SH ;

SEALY, WC ;

ROBICSEK, FR .

AMERICAN JOURNAL OF CARDIOLOGY, 1988, 61 (02) :A27-A44

[2] VENTRICULAR-TACHYCARDIA INDUCED BY ATRIAL STIMULATION IN PATIENTS WITHOUT SYMPTOMATIC CARDIAC DISEASE [J].

GERMAN, LD ;

PACKER, DL ;

BARDY, GH ;

GALLAGHER, JJ .

AMERICAN JOURNAL OF CARDIOLOGY, 1983, 52 (10) :1202-1207

[3] IDIOPATHIC LEFT-VENTRICULAR TACHYCARDIA - NEW INSIGHTS INTO ELECTROPHYSIOLOGICAL CHARACTERISTICS AND RADIOFREQUENCY CATHETER ABLATION [J].

KOTTKAMP, H ;

CHEN, X ;

HINDRICKS, G ;

WILLEMS, S ;

HAVERKAMP, W ;

WICHTER, T ;

BREITHARDT, G ;

BORGGREFE, M .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1995, 18 (06) :1285-1297

[4]

LIN FC, 1983, AM J CARDIOL, V52, P95

[5] RADIOFREQUENCY CATHETER ABLATION OF IDIOPATHIC LEFT-VENTRICULAR TACHYCARDIA GUIDED BY A PURKINJE POTENTIAL [J].

NAKAGAWA, H ;

BECKMAN, KJ ;

MCCLELLAND, JH ;

WANG, XZ ;

ARRUDA, M ;

SANTORO, I ;

HAZLITT, HA ;

ABDALLA, I ;

SINGH, A ;

GOSSINGER, H ;

SWEIDAN, R ;

HIRAO, K ;

WIDMAN, L ;

PITHA, JV ;

LAZZARA, R ;

JACKMAN, WM .

CIRCULATION, 1993, 88 (06) :2607-2617

[6] IDIOPATHIC SUSTAINED LEFT-VENTRICULAR TACHYCARDIA - CLINICAL AND ELECTROPHYSIOLOGIC CHARACTERISTICS [J].

OHE, T ;

SHIMOMURA, K ;

AIHARA, N ;

KAMAKURA, S ;

MATSUHISA, M ;

SATO, I ;

NAKAGAWA, H ;

SHIMIZU, A .

CIRCULATION, 1988, 77 (03) :560-568

[7] ENTRAINMENT OF IDIOPATHIC VENTRICULAR-TACHYCARDIA OF LEFT-VENTRICULAR ORIGIN WITH EVIDENCE FOR REENTRY WITH AN AREA OF SLOW CONDUCTION AND EFFECT OF VERAPAMIL [J].

OKUMURA, K ;

MATSUYAMA, K ;

MIYAGI, H ;

TSUCHIYA, T ;

YASUE, H .

AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (10) :727-732

[8] RADIOFREQUENCY CATHETER ABLATION OF IDIOPATHIC LEFT-VENTRICULAR TACHYCARDIA IN YOUNG-ADULTS [J].

SREERAM, N ;

SMEETS, JLRM ;

WELLENS, HJJ .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 1993, 42 (03) :288-291

[9] SURGICAL-CORRECTION OF IDIOPATHIC PAROXYSMAL VENTRICULAR-TACHYCARDIA POSSIBLY RELATED TO LEFT-VENTRICULAR FALSE TENDON [J].

SUWA, M ;

YONEDA, Y ;

NAGAO, H ;

SAKAI, Y ;

NAKAYAMA, Y ;

HIROTA, Y ;

KAWAMURA, K ;

IWA, T .

AMERICAN JOURNAL OF CARDIOLOGY, 1989, 64 (18) :1217-1220

[10] Anatomic substrate for idiopathic left ventricular tachycardia [J].

Thakur, RK ;

Klein, GJ ;

Sivaram, CA ;

Zardini, M ;

Schleinkofer, DE ;

Nakagawa, H ;

Yee, R ;

Jackman, WM .

CIRCULATION, 1996, 93 (03) :497-501

← 1 2 →