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December 4, 2010Circulation Arrhythmia and ElectrophysiologyOpen Access

Endocardial Unipolar Voltage Mapping to Detect Epicardial Ventricular Tachycardia Substrate in Patients With Nonischemic Left Ventricular Cardiomyopathy

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Why the study?

Does endocardial unipolar voltage mapping reliably identify epicardial ventricular tachycardia substrate in patients with nonischemic left ventricular cardiomyopathy?

Population

Patients with nonischemic left ventricular cardiomyopathy (LVCM)

Design

Other

Authors

Mathew D. HutchinsonMathew D. HutchinsonElectrophysiologyEdward P. GerstenfeldEdward P. GerstenfeldElectrophysiologyBDBenoit DesjardinsUniversité de Montréal

Discussion

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Implication

Endocardial unipolar mapping may identify epicardial VT substrate in LVCM; leaves open prospective validation before routine adoption.

Structured PICO

Does endocardial unipolar voltage mapping reliably identify epicardial ventricular tachycardia substrate in patients with nonischemic left ventricular cardiomyopathy?

P
Population
Patients with nonischemic left ventricular cardiomyopathy (LVCM)
I
Intervention
Endocardial unipolar (ENDO UNI) voltage mapping
O
Outcome
Detection of epicardial (EPI) ventricular tachycardia substratesurrogate

Endocardial unipolar voltage mapping can reliably identify epicardial arrhythmia substrate in patients with nonischemic left ventricular cardiomyopathy even without endocardial bipolar abnormalities.

Cite This Study

Hutchinson et al. (2010) studied this question.

synapsesocial.com/papers/69d56cec75589c71d767ceachttps://doi.org/10.1161/circep.110.959957

Topics

Ventricular arrhythmiasCardiomyopathy
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preliminary Animal and Clinical Experiences Using an Electromechanical Endocardial Mapping Procedure to Distinguish Infarcted From Healthy Myocardium1998 · 178 citations
  2. 2A New Technique to Perform Epicardial Mapping in the Electrophysiology Laboratory1996 · 880 citations
  3. 3Mapping and Radiofrequency Catheter Ablation of the Three Types of Sustained Monomorphic Ventricular Tachycardia in Nonischemic Heart Disease2000 · 153 citations
  4. 4Linear Ablation Lesions for Control of Unmappable Ventricular Tachycardia in Patients With Ischemic and Nonischemic Cardiomyopathy2000 · 1,227 citations
  5. 5ECG Criteria to Identify Epicardial Ventricular Tachycardia in Nonischemic Cardiomyopathy2009 · 266 citations