Localization of Ventricular Arrhythmias for Catheter Ablation: The Role of Surface Electrocardiogram

Domenico Giovanni Della Rocca¹, Carola Gianni², Sanghamitra Mohanty², Chintan Trivedi², Luigi Di Biase³, Andrea Natale⁴

Affiliations

¹ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA. Electronic address: domenicodellarocca@hotmail.it.
² Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
³ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA; Department of Biomedical Engineering, University of Texas, Austin, TX, USA; Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA; Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
⁴ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA; Department of Biomedical Engineering, University of Texas, Austin, TX, USA; Interventional Electrophysiology, Scripps Clinic, La Jolla, CA, USA; MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA; Division of Cardiology, Stanford University, Stanford, CA, USA; Electrophysiology and Arrhythmia Services, California Pacific Medical Center, San Francisco, CA, USA.

PMID: 29784487
DOI: 10.1016/j.ccep.2018.02.006

Review

Localization of Ventricular Arrhythmias for Catheter Ablation: The Role of Surface Electrocardiogram

Domenico Giovanni Della Rocca et al. Card Electrophysiol Clin. 2018 Jun.

. 2018 Jun;10(2):333-354.

doi: 10.1016/j.ccep.2018.02.006.

Authors

Domenico Giovanni Della Rocca¹, Carola Gianni², Sanghamitra Mohanty², Chintan Trivedi², Luigi Di Biase³, Andrea Natale⁴

Affiliations

¹ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA. Electronic address: domenicodellarocca@hotmail.it.
² Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
³ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA; Department of Biomedical Engineering, University of Texas, Austin, TX, USA; Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA; Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
⁴ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA; Department of Biomedical Engineering, University of Texas, Austin, TX, USA; Interventional Electrophysiology, Scripps Clinic, La Jolla, CA, USA; MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA; Division of Cardiology, Stanford University, Stanford, CA, USA; Electrophysiology and Arrhythmia Services, California Pacific Medical Center, San Francisco, CA, USA.

PMID: 29784487
DOI: 10.1016/j.ccep.2018.02.006

Abstract

The surface ECG is a valuable mapping tool in patients with idiopathic and scar-related ventricular arrhythmias (VAs). A detailed analysis of 12-lead ECG can provide useful information in localizing the VA site of origin. This might help tailoring the ablation strategy to optimize procedural duration, increase the probability of success, and prevent complications. The aim of this article is to review the ECG features of both idiopathic and scar-related VAs and discuss their potential implications for optimizing the ablation strategy.

Keywords: Catheter ablation; Electrocardiography; Idiopathic ventricular arrhythmias; Site of origin; Structural heart disease; Ventricular arrhythmias; Ventricular tachycardia.

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Localization of Ventricular Arrhythmias for Catheter Ablation: The Role of Surface Electrocardiogram

Affiliations

Localization of Ventricular Arrhythmias for Catheter Ablation: The Role of Surface Electrocardiogram

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Abstract

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