OBJECTIVES The purpose of this study was to assess the prevalence of the re-entry circuit within the interventricular septum in post-infarction patients referred for ventricular tachycardia (VT) ablation. BACKGROUND Post-infarction ventricular tachycardia can involve the endocardial myocardium, the intramural myocardium, the epicardium, or the His Purkinje system. METHODS Among 74 consecuti...

BACKGROUND Extensive lines of radiofrequency (RF) lesions through infarct (MI) can ablate multiple and unstable ventricular tachycardias (VTs). Methods for guiding ablation that minimize unnecessary RF applications are needed. This study assesses the feasibility of guiding RF line placement by mapping to identify a reentry circuit isthmus. METHODS AND RESULTS Catheter mapping and ablation wer...

This prospective study assessed the immediate reproducibility of clinical and nonclinical forms of ventricular tachycardia (VT) induced by programmed ventricular stimulation. Twenty-three clinical VTs were unimorphic and previously documented and 22 nonclinical VTs (17 polymorphic and 5 unimorphic) were induced in patients with either no documented or suspected history of VT, or documented VT t...

Vessel Traffic Service (VTS) is a shore-side service implemented by a "Competent Authority to improve the safety and efficiency of vessel traffic and to protect the environment". It is a service that operates through VTS centers, from which VTS operators monitor traffic, assist in navigational matters and provide information to all ships in a designated area. As VTS is provided by operators loc...

BACKGROUND Some ventricular tachycardias (VTs) originating from the epicardium are not suitable for endocardial radiofrequency ablation and require an epicardial approach. The aim of this study was to define the ECG characteristics that may identify an epicardial origin of VTs. METHODS AND RESULTS We analyzed the 12-lead ECG recordings during epicardial and endocardial left ventricular pacing...

BACKGROUND The time course and factors correlating with ventricular tachyarrhythmias (VTs) after introduction of corticosteroid therapy in patients with cardiac sarcoidosis remain to be elucidated. METHODS AND RESULTS We examined 68 consecutive patients with cardiac sarcoidosis in the Tohoku University Hospital from October 1998 to September 2014 (age: 57±11 years old; male:female 18:50) and ...

Noninvasive cardiac activation imaging of ventricular tachycardia (VT) is important in the clinical diagnosis and treatment of arrhythmias in heart failure (HF) patients. This study investigated the ability of the three-dimensional cardiac electrical imaging (3DCEI) technique for characterizing the activation patterns of spontaneously occurring and norepinephrine (NE)-induced VTs in a newly dev...

BACKGROUND Insights gained from noncontact mapping of ventricular tachycardia (VT) have not been systematically applied to contact maps. This study sought to unify both techniques for an individualized approach to the patient with multiple ischemic VTs irrespective of cycle length. METHODS AND RESULTS For 12 consecutive patients with chronic myocardial infarction and recurrent VT, bipolar con...

ustained monomorphic ventricular tachycardia (VT) is most often related to myocardial structural heart disease, including a healed myocardial infarction, and cardiomyopathies. However, no apparent structural abnormalities are identified in approximately 10% of all cases of sustained monomorphic VT in the United States1 and in 20% of those in Japan.2 These cases of VT are referred to as “idiopat...