دورية أكاديمية

Long‐term study on electrophysiological characteristics and catheter ablation of idiopathic ventricular arrhythmias originating from the left ventricular posterior papillary muscles guided by intracardiac ultrasound

التفاصيل البيبلوغرافية
العنوان: Long‐term study on electrophysiological characteristics and catheter ablation of idiopathic ventricular arrhythmias originating from the left ventricular posterior papillary muscles guided by intracardiac ultrasound
المؤلفون: Xiangfei Liu, Jin Wang, Yanwei Gong, Changmin Wei
المصدر: Annals of Noninvasive Electrocardiology, Vol 27, Iss 5, Pp n/a-n/a (2022)
بيانات النشر: Wiley, 2022.
سنة النشر: 2022
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: catheter ablation, papillary muscles, three‐dimensional ultrasound, ventricular arrhythmia, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Abstract Background This study aimed to investigate the electrophysiological characteristics of idiopathic ventricular arrhythmias (VAs) originating from the left ventricular posterior papillary muscles (LPPM) and explore the efficiency of catheter ablation using three‐dimensional intracardiac ultrasound technology. Methods Twenty‐seven cases of premature ventricular contraction/ventricular tachycardia (PVC/VT) originating from the left ventricular posterior papillary muscles were recorded from July 2015 to June 2019 in the Central Hospital of Shengli Oil Field and the First Affiliated Hospital of Zhengzhou University. Electrophysiological mapping and radiofrequency catheter ablation (RFCA) were performed using three‐dimensional intracardiac ultrasound technology. The characteristics of the body surface and intracavity electrocardiogram were analyzed. All cases were followed up for 24 months after the operation. Results The VAs of all 27 cases were successfully eliminated by catheter ablation. QRS complexes were observed with a right bundle branch block (RBBB) pattern and a steep slope in the initial segment. Lead I appeared with an Rs pattern, and inferior leads (lead II, III, and aVF) were usually with an S wave. The lead aVR appeared with a qR pattern, while the R wave was commonly found in aVL. The main wave in leads V1‐V3 was positive but negative in V5 and V6. Conclusion Ventricular arrhythmias originating from the left ventricular posterior papillary muscles have similar electrophysiological characteristics. The origin site was accurately located using three‐dimensional intracardiac ultrasound technology. Catheter ablation effectively eliminated VAs.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1542-474X
1082-720X
Relation: https://doaj.org/toc/1082-720X; https://doaj.org/toc/1542-474X
DOI: 10.1111/anec.12962
URL الوصول: https://doaj.org/article/e393c13bd9524a08970b86a5e8e56668
رقم الأكسشن: edsdoj.393c13bd9524a08970b86a5e8e56668
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:1542474X
1082720X
DOI:10.1111/anec.12962