Idiopathic premature ventricular contractions and ventricular tachycardias originating from the vicinity of tricuspid annulus: Results of radiofrequency catheter ablation in thirty-five patients

作者: Li Yue-Chun , Zhang Wen-Wu , Zhou Na-Dan , Zhang Teng , Wang Pin-Xiao

DOI: 10.1186/1471-2261-12-32

关键词: Catheter ablationElectrocardiographyTricuspid valveElectrical conduction system of the heartInternal medicineAblationMedicineQRS complexCardiologyCardiac surgeryTachycardia

摘要: In recent years, catheter ablation has increasingly been used for of idiopathic premature ventricular complexes (PVCs) or tachycardias (IVTs). However, the mapping and arrhythmias originating from vicinity tricuspid annulus (TA) may not be fully understood. This study aimed to investigate electrophysiologic characteristics effects radiofrequency (RFCA) patients with symptomatic PVCs IVTs TA. Characteristics body surface electrocardiogram (ECG) recordings were analyzed in 35 PVCs/ RFCA was performed using pace activation mapping. Among PVCs/IVTs arising TA, complete elimination could achieved by 32 (success rate 91.43%) during a median follow-up period 21 months. TA had distinctive ECG that useful identifying precise origin. An rS pattern recorded lead V1 93.1% free wall vs 16.7% septal whereas QS occurred 83.3% 6.9% The precordial R wave transition V3 earlier all portion as compared beyond is an effective curative therapy There are specific site located analysis.

参考文章(13)
Masao Takemoto, Hitoshi Yoshimura, Yurika Ohba, Yasuharu Matsumoto, Umpei Yamamoto, Masahiro Mohri, Hideo Yamamoto, Hideki Origuchi, Radiofrequency catheter ablation of premature ventricular complexes from right ventricular outflow tract improves left ventricular dilation and clinical status in patients without structural heart disease. Journal of the American College of Cardiology. ,vol. 45, pp. 1259- 1265 ,(2005) , 10.1016/J.JACC.2004.12.073
SANJAY DIXIT, EDWARD P. GERSTENFELD, DAVID J. CALLANS, FRANCIS E. MARCHLINSKI, Electrocardiographic patterns of superior right ventricular outflow tract tachycardias: distinguishing septal and free-wall sites of origin. Journal of Cardiovascular Electrophysiology. ,vol. 14, pp. 1- 7 ,(2003) , 10.1046/J.1540-8167.2003.02404.X
Frank Bogun, Thomas Crawford, Stephen Reich, Todd M. Koelling, William Armstrong, Eric Good, Krit Jongnarangsin, Joseph E. Marine, Aman Chugh, Frank Pelosi, Hakan Oral, Fred Morady, Radiofrequency ablation of frequent, idiopathic premature ventricular complexes: comparison with a control group without intervention. Heart Rhythm. ,vol. 4, pp. 863- 867 ,(2007) , 10.1016/J.HRTHM.2007.03.003
Hiroshi Tada, Sachiko Ito, Shigeto Naito, Kenji Kurosaki, Shoichi Kubota, Aiko Sugiyasu, Taketsugu Tsuchiya, Kohei Miyaji, Minoru Yamada, Yasunori Kutsumi, Shigeru Oshima, Akihiko Nogami, Koichi Taniguchi, Idiopathic ventricular arrhythmia arising from the mitral annulus: A distinct subgroup of idiopathic ventricular arrhythmias Journal of the American College of Cardiology. ,vol. 45, pp. 877- 886 ,(2005) , 10.1016/J.JACC.2004.12.025
Shiro Kamakura, Wataru Shimizu, Kiyotaka Matsuo, Atsushi Taguchi, Kazuhiro Suyama, Takashi Kurita, Naohiko Aihara, Tohru Ohe, Katsuro Shimomura, Localization of Optimal Ablation Site of Idiopathic Ventricular Tachycardia from Right and Left Ventricular Outflow Tract by Body Surface ECG Circulation. ,vol. 98, pp. 1525- 1533 ,(1998) , 10.1161/01.CIR.98.15.1525
CONG-XIN HUANG, JIN-JUN LIANG, BO YANG, HONG JIANG, QI-ZHU TANG, XIU-JUAN LIU, WEI-GUO WAN, XIAO-LI JIAN, Quality of life and cost for patients with premature ventricular contractions by radiofrequency catheter ablation. Pacing and Clinical Electrophysiology. ,vol. 29, pp. 343- 350 ,(2006) , 10.1111/J.1540-8159.2006.00351.X
Hiroshi Tada, Kazuyoshi Tadokoro, Sachiko Ito, Shigeto Naito, Tohru Hashimoto, Kenichi Kaseno, Kohei Miyaji, Aiko Sugiyasu, Taketsugu Tsuchiya, Yasunori Kutsumi, Akihiko Nogami, Shigeru Oshima, Koichi Taniguchi, Idiopathic ventricular arrhythmias originating from the tricuspid annulus: Prevalence, electrocardiographic characteristics, and results of radiofrequency catheter ablation Heart Rhythm. ,vol. 4, pp. 7- 16 ,(2007) , 10.1016/J.HRTHM.2006.09.025
Owen A. Obel, Andre d’Avila, Petr Neuzil, Eduardo B. Saad, Jeremy N. Ruskin, Vivek Y. Reddy, Ablation of left ventricular epicardial outflow tract tachycardia from the distal great cardiac vein. Journal of the American College of Cardiology. ,vol. 48, pp. 1813- 1817 ,(2006) , 10.1016/J.JACC.2006.06.006
T. Yamada, J. S. Allison, H. T. McElderry, H. Doppalapudi, A. E. Epstein, V. J. Plumb, G. N. Kay, Successful catheter ablation of premature ventricular contractions originating from the tricuspid annulus using a Halo-type catheter. Europace. ,vol. 10, pp. 1228- 1229 ,(2008) , 10.1093/EUROPACE/EUN184
Logan Kanagaratnam, Gery Tomassoni, Robert Schweikert, Stephen Pavia, Dianna Bash, Salwa Beheiry, Mark Niebauer, Walid Saliba, Mina Chung, Patrick Tchou, Andrea Natale, Ventricular tachycardias arising from the aortic sinus of valsalva: an under-recognized variant of left outflow tract ventricular tachycardia Journal of the American College of Cardiology. ,vol. 37, pp. 1408- 1414 ,(2001) , 10.1016/S0735-1097(01)01127-5