Sustained monomorphic ventricular tachycardia: a single electrocardiographic expression of different patterns of reentry. Export

@article{citeulike:1396908, abstract = {Sustained monomorphic ventricular tachycardia (SMVT) can be the electrocardiographic expression of a reentrant impulse in the ventricles. In this study we analyzed the different types of reentry that might lead to SMVT. Methods: The pattern of activation of 73 episodes of SMVT induced in thin sheets of epicardium in 50 Langendorff perfused rabbit hearts were visualized with high resolution epicardial mapping (248 points). Results: Five different patterns of reentry resulting in SMVT were identified: (1) Single-loop reentry around a fixed obstacle (n = 40); (2) Single-loop reentry around a functional arc of conduction block (n = 17); (3) Double-wave reentry around a fixed obstacle (n = 9); (4) Figure-of-eight reentry around two areas of functional block (n = 5); and (5) Multiple synchronized circuits around multiple areas of functional block (n = 2). Conclusion: SMVT is a single electrocardiographic expression of different patterns of reentry. Accurate mapping is mandatory to identify the reentrant pathway and the pathophysiological substrate of the arrhythmia.}, address = {Department of Physiology, University of Limburg, Maastricht, The Netherlands.}, author = {Brugada, J. and Boersma, L. and Kirchhof, C. and Zetelaki, Z. and Abdollah, H. and Konings, K. and Allessie, M.}, citeulike-article-id = {1396908}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/1721203}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=1721203}, issn = {0147-8389}, journal = {Pacing Clin Electrophysiol}, keywords = {bidomainunpinning, octpacing, octunpinning}, month = {November}, number = {11 Pt 2}, pages = {1943--1946}, posted-at = {2007-06-18 13:30:11}, priority = {3}, title = {Sustained monomorphic ventricular tachycardia: a single electrocardiographic expression of different patterns of reentry.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/1721203}, volume = {14}, year = {1991} }

TY - JOUR ID - citeulike:1396908 L3 - citeulike-article-id:1396908 N2 - Sustained monomorphic ventricular tachycardia (SMVT) can be the electrocardiographic expression of a reentrant impulse in the ventricles. In this study we analyzed the different types of reentry that might lead to SMVT. Methods: The pattern of activation of 73 episodes of SMVT induced in thin sheets of epicardium in 50 Langendorff perfused rabbit hearts were visualized with high resolution epicardial mapping (248 points). Results: Five different patterns of reentry resulting in SMVT were identified: (1) Single-loop reentry around a fixed obstacle (n = 40); (2) Single-loop reentry around a functional arc of conduction block (n = 17); (3) Double-wave reentry around a fixed obstacle (n = 9); (4) Figure-of-eight reentry around two areas of functional block (n = 5); and (5) Multiple synchronized circuits around multiple areas of functional block (n = 2). Conclusion: SMVT is a single electrocardiographic expression of different patterns of reentry. Accurate mapping is mandatory to identify the reentrant pathway and the pathophysiological substrate of the arrhythmia. IS - 11 Pt 2 JF - Pacing Clin Electrophysiol SN - 0147-8389 AD - Department of Physiology, University of Limburg, Maastricht, The Netherlands. EP - 1946 TI - Sustained monomorphic ventricular tachycardia: a single electrocardiographic expression of different patterns of reentry. VL - 14 SP - 1943 KW - bidomainunpinning KW - octpacing KW - octunpinning AU - Brugada, J AU - Boersma, L AU - Kirchhof, C AU - Zetelaki, Z AU - Abdollah, H AU - Konings, K AU - Allessie, M PY - 1991/11// UR - http://view.ncbi.nlm.nih.gov/pubmed/1721203 ER -