Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia

A 72-year-old man with ischemic cardiomyopathy was admitted for the treatment of ventricular tachycardia (VT). Because his VT was poorly tolerated hemodynamically, substrate mapping was performed. The map revealed the presence of low-voltage areas in the inferolateral wall of the LV. Late potentials...

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Main Authors: Shiro Nakahara, MD, Yuichi Hori, MD, Sayuki Kobayashi, MD, Naofumi Tsukada, MD, Yoshihiko Sakai, MD, Kan Takayanagi, MD
Format: Article
Language:English
Published: Wiley 2014-08-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427613001580
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spelling doaj-2fc9c99c2d76432e9a30f8957999adc42020-11-24T22:37:37ZengWileyJournal of Arrhythmia1880-42762014-08-0130432032210.1016/j.joa.2013.09.008Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardiaShiro Nakahara, MDYuichi Hori, MDSayuki Kobayashi, MDNaofumi Tsukada, MDYoshihiko Sakai, MDKan Takayanagi, MDA 72-year-old man with ischemic cardiomyopathy was admitted for the treatment of ventricular tachycardia (VT). Because his VT was poorly tolerated hemodynamically, substrate mapping was performed. The map revealed the presence of low-voltage areas in the inferolateral wall of the LV. Late potentials (LPs) were recorded during sinus rhythm, and pacing at the site revealed a good pacemap for targeting the VT. Delivery of radiofrequency (RF) current to the area where LPs were recorded rendered the targeted VT noninducible. After RF delivery, dissociation of the LPs with an interval of 3140 ms was documented during sinus rhythm.http://www.sciencedirect.com/science/article/pii/S1880427613001580Catheter ablationVentricular tachycardiaLate potentials
collection DOAJ
language English
format Article
sources DOAJ
author Shiro Nakahara, MD
Yuichi Hori, MD
Sayuki Kobayashi, MD
Naofumi Tsukada, MD
Yoshihiko Sakai, MD
Kan Takayanagi, MD
spellingShingle Shiro Nakahara, MD
Yuichi Hori, MD
Sayuki Kobayashi, MD
Naofumi Tsukada, MD
Yoshihiko Sakai, MD
Kan Takayanagi, MD
Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia
Journal of Arrhythmia
Catheter ablation
Ventricular tachycardia
Late potentials
author_facet Shiro Nakahara, MD
Yuichi Hori, MD
Sayuki Kobayashi, MD
Naofumi Tsukada, MD
Yoshihiko Sakai, MD
Kan Takayanagi, MD
author_sort Shiro Nakahara, MD
title Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia
title_short Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia
title_full Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia
title_fullStr Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia
title_full_unstemmed Dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia
title_sort dissociated late potentials during sinus rhythm after radiofrequency ablation in a patient with postinfarction ventricular tachycardia
publisher Wiley
series Journal of Arrhythmia
issn 1880-4276
publishDate 2014-08-01
description A 72-year-old man with ischemic cardiomyopathy was admitted for the treatment of ventricular tachycardia (VT). Because his VT was poorly tolerated hemodynamically, substrate mapping was performed. The map revealed the presence of low-voltage areas in the inferolateral wall of the LV. Late potentials (LPs) were recorded during sinus rhythm, and pacing at the site revealed a good pacemap for targeting the VT. Delivery of radiofrequency (RF) current to the area where LPs were recorded rendered the targeted VT noninducible. After RF delivery, dissociation of the LPs with an interval of 3140 ms was documented during sinus rhythm.
topic Catheter ablation
Ventricular tachycardia
Late potentials
url http://www.sciencedirect.com/science/article/pii/S1880427613001580
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