Ideopathic Ventricular Tachycardia: The Usual and Unusual

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Distribution of VT Total VT = 90% structural heart disease, 10% ideopathic N = 122 undergoing ablation for IVT 1999-2003 • RVOT : 88 (72%) • LVOT: 20 (16%) ( 9 aortic cusps, 11 basal LV endocardium) • Fascicular VT : 14 (11%) Structural Heart Disease (90%) <strong>Ideopathic</strong> (10%) RVOT (72%) LVOT (16%) FVT(11%) Dixit S, Lin D, Zado E., Heart Rhythm 1:S104m 2004
Outflow Tract VT
Page 1 and 2: Ideopathic Ventricular Tachycardia:
Page 3 and 4: Sustained Ventricular Tachycardias
Page 5: Ideopathic VT I. Outflow Tract VT A
Page 9 and 10: Relationship of Heart Rate to Frequ
Page 11 and 12: Mechanism of Outflow Tract VT Delay
Page 13 and 14: Calcium Overload causes DAD’s 1.
Page 15 and 16: DAD’s and Triggered Beats
Page 17: Case Study: RVOT VT • 37 year old
Page 21 and 22: Mapping and Ablation of RVOT VT •
Page 23 and 24: Earliest Activation Site
Page 25 and 26: LAO ablation
Page 27 and 28: RVOT Ablation Site
Page 29 and 30: © 2012 Virginia Mason Medical Cent
Page 31 and 32: LVOT VT • Aortic cusps • Aortom
Page 33 and 34: Ablator in Left Aortic Cusp
Page 35 and 36: Aortic-mitral Continuity
Page 37 and 38: Ablation at AMC Site
Page 39 and 40: LAF Left Fascicular VT LPF • Post
Page 41 and 42: • macroreentry Mechanism of LV VT
Page 43 and 44: Successful Ablation Sites of Left P
Page 45 and 46: Nogami, PACE 2011 LPF and LAF VT Ci
Page 47 and 48: Case Study LV VT • 20 year old ma
Page 49 and 50: ECG of Case Study VT Rate 101 bpm
Page 51 and 52: Map Catheter in LV Against Apical S
Page 53 and 54: His RAO ablate
Page 55 and 56: Left fascicular VT ablation site ab
Page 57 and 58:
Nogami, PACE 2011 Upper Septal VT C
Page 59 and 60:
Complications of LV VT Ablation •
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Ideopathic Ventricular Tachycardia: The Usual and Unusual

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