TY - JOUR
T1 - The Janus Heads of ventricular Tachycardia
T2 - Single-circuit with dual exits
AU - Bisht, Devendra S.
AU - Kishor, Kamal
N1 - Publisher Copyright:
© 2024 Indian Heart Rhythm Society
PY - 2024/11/1
Y1 - 2024/11/1
N2 - In the setting of ischemic heart disease (IHD), ventricular tachycardia (VT) commonly originates from areas of incomplete scar tissue. High-density electroanatomic mapping has enhanced our understanding of VT circuits, predominantly characterised by dense scar and surviving myocyte bundles. We present a case of a 58-year-old male with IHD and sustained monomorphic VT, successfully treated with radiofrequency ablation following high-density mapping and entrainment techniques. Two inducible VT phenotypes were identified, with ablation at one site effectively terminating both VT morphologies. This case illustrates the importance of precise circuit localisation and targeted ablation in managing post-infarction VT, leading to a satisfactory patient outcome.
AB - In the setting of ischemic heart disease (IHD), ventricular tachycardia (VT) commonly originates from areas of incomplete scar tissue. High-density electroanatomic mapping has enhanced our understanding of VT circuits, predominantly characterised by dense scar and surviving myocyte bundles. We present a case of a 58-year-old male with IHD and sustained monomorphic VT, successfully treated with radiofrequency ablation following high-density mapping and entrainment techniques. Two inducible VT phenotypes were identified, with ablation at one site effectively terminating both VT morphologies. This case illustrates the importance of precise circuit localisation and targeted ablation in managing post-infarction VT, leading to a satisfactory patient outcome.
UR - http://www.scopus.com/inward/record.url?scp=85203007171&partnerID=8YFLogxK
U2 - 10.1016/j.ipej.2024.08.005
DO - 10.1016/j.ipej.2024.08.005
M3 - Article
AN - SCOPUS:85203007171
SN - 0972-6292
VL - 24
SP - 337
EP - 346
JO - Indian Pacing and Electrophysiology Journal
JF - Indian Pacing and Electrophysiology Journal
IS - 6
ER -