How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias

Andres Enriquez; Adrian Baranchuk; David Briceno; Luis Saenz; Fermin Garcia

doi:10.1016/j.hrthm.2019.04.002

How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias

Andres Enriquez, Adrian Baranchuk, David Briceno, Luis Saenz, Fermin Garcia

Research output: Contribution to journal › Article › peer-review

49 Scopus citations

Abstract

Idiopathic ventricular arrhythmias may arise from anywhere in the heart, and the majority of them can be effectively treated with catheter ablation. The 12-lead electrocardiogram (ECG) is the initial mapping tool to predict the most likely site of origin and is valuable to choose the appropriate ablation strategy. Crucial to ECG interpretation is understanding the attitudinal orientation of the heart within the chest and the relationship between the different cardiac structures. In this review, we provide a stepwise anatomical approach for the localization of idiopathic ventricular arrhythmias based on sequential analysis of the most relevant ECG features.

Original language	English (US)
Pages (from-to)	1538-1544
Number of pages	7
Journal	Heart Rhythm
Volume	16
Issue number	10
DOIs	https://doi.org/10.1016/j.hrthm.2019.04.002
State	Published - Oct 2019
Externally published	Yes

Keywords

Catheter ablation
Electrocardiogram
Site of origin
Ventricular arrhythmias
Ventricular tachycardia

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.hrthm.2019.04.002

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abstract = "Idiopathic ventricular arrhythmias may arise from anywhere in the heart, and the majority of them can be effectively treated with catheter ablation. The 12-lead electrocardiogram (ECG) is the initial mapping tool to predict the most likely site of origin and is valuable to choose the appropriate ablation strategy. Crucial to ECG interpretation is understanding the attitudinal orientation of the heart within the chest and the relationship between the different cardiac structures. In this review, we provide a stepwise anatomical approach for the localization of idiopathic ventricular arrhythmias based on sequential analysis of the most relevant ECG features.",

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AU - Enriquez, Andres

AU - Baranchuk, Adrian

AU - Briceno, David

AU - Saenz, Luis

AU - Garcia, Fermin

PY - 2019/10

Y1 - 2019/10

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AB - Idiopathic ventricular arrhythmias may arise from anywhere in the heart, and the majority of them can be effectively treated with catheter ablation. The 12-lead electrocardiogram (ECG) is the initial mapping tool to predict the most likely site of origin and is valuable to choose the appropriate ablation strategy. Crucial to ECG interpretation is understanding the attitudinal orientation of the heart within the chest and the relationship between the different cardiac structures. In this review, we provide a stepwise anatomical approach for the localization of idiopathic ventricular arrhythmias based on sequential analysis of the most relevant ECG features.

KW - Catheter ablation

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KW - Site of origin

KW - Ventricular arrhythmias

KW - Ventricular tachycardia

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How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias

Abstract

Keywords

ASJC Scopus subject areas

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