Correlations Between Latest Delayed Potentials in Sinus Rhythm and Earliest Activation During Chronic Ventricular Tachycardia

  • G. Fontaine
  • G. Guiraudon
  • R. Frank
  • F. Fillette
  • J. Tonet
  • Y. Grosgogeat
Conference paper

Abstract

Epicardial mapping during cardiac surgery has made an important contribution to the treatment of some forms of chronic ventricular tachycardia (VT) and has increased our understanding of the underlying mechanisms of this arrhythmia (1,2).

Keywords

Catheter Ischemia Propa Eter Cardiol 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gallagher JJ, Anderson RW, Kasell J, Rice JR, Pritchett ELC, Gault JM, Harrison L, Wallace AG (1978) Cryoablation of drug-resistant ventricular tachycardia in a patient with a variant of scleroderma. Circulation 57: 190PubMedGoogle Scholar
  2. 2.
    Fontaine G, Guiraudon G, Frank R, Vedel J, Grosgogeat Y, Cabrol C (1978) Modern concepts of ventricular tachycardia. The value of electrocardiological investigations and delayed potentials in ventricular tachycardia of ischaemic and non ischaemic aetiology. 31 operated cases. Eur J Cardiol 8: 565PubMedGoogle Scholar
  3. 3.
    Wellens HJJ, Schuilenburg RM, Durrer D (1972) Electrical stimulation of the heart in patients with ventricular tachycardia. Circulation 46: 216PubMedGoogle Scholar
  4. 4.
    Moore EN, Spear JF, Spielman S, Michelson E, Modess A, Josephson M, Horowitz LN (1978) Electrophysiological studies on the mechanism of ventricular tachycardia. In: Kelly DT (ed) Advances in the management arrhythmias. Telectronics, p 175Google Scholar
  5. 5.
    Fontaine G, Frank R, Vedel J, Vachon JM, Guiraudon G, Grosgogeat Y, Facguet J (1974) La genese de certains troubles du rythme ventriculaire. Nouv Presse Med 3: 2321PubMedGoogle Scholar
  6. 6.
    El-Sherif N, Scherlag BJ, Lazzara R, Hope RR (1977) Reentrant ventricular ar-rhythmias in the late myocardial infarction period. I.Conduction characteristics in the infarction zone. Circulation 55: 686PubMedGoogle Scholar
  7. 7.
    El-Sherif N, Scherlag B, Lazzara R, Hope R (1977) Reentrant ventricular arrhythmias in the late myocardial infarction period. II. Patterns of initiation and termination of reentry. Circulation 55: 702PubMedGoogle Scholar
  8. 8.
    El-Sherif N, Lazzara R, Hope R, Scherlag BJ (1977) Reentrant ventricular arrhythmias in the late myocardial infarction period. III. Manifest and concealed extra-systolic grouping. Circulation 56: 225PubMedGoogle Scholar
  9. 9.
    Fontaine G, Guiraudon G, Frank R (1978) Intramyocardial conduction defects in patients prone to ventricular tachycardia. I. The postexcitation syndrome in sinus rhythm. In: Sandoe E, Julian DG, Bell JW (eds) Management of ventricular tachycardia. Role of mexiletine. Excerpta Medica, Amsterdam, p 39Google Scholar
  10. 10.
    Fontaine G, Guiraudon G, Frank R (1978) Intramyocardial conduction defects in patients prone to ventricular tachycardia. II. A dynamic study of the post-excitation syndrome. In: Sandoe E, Julian DG, Bell JW (eds) Management of ventricular tachycardia. Role of Mexiletine. Excerpta Medica, Amsterdam, p 56Google Scholar
  11. 11.
    Fontaine G, Guiraudon G, Frank R (1978) Intramyocardial conduction defects in patients prone to ventricular tachycardia. III. The post-excitation syndrome during ventricular tachycardia. In: Sandoe E, Julian DG, Bell JW (eds) Management of ventricular tachycardia. Role of mexiletine. Excerpta Medica, Amsterdam, p 67Google Scholar
  12. 12.
    Fontaine G, Guiraudon G, Frank R (1979) Mechanism of ventricular tachycardia with and without associated chronic myocardial ischaemia. Surgical management based on epicardial mapping. In: Narula OS (ed) Innovations in diagnosis and management of cardiac arrhythmias. William & Wilkins, Baltimore, p 516Google Scholar
  13. 13.
    Fontaine G, Guiraudon G, Frank R, Vedel J, Phan-Thuc H, Cabrol C, Grosgogeat Y (1978) El mapeo epicardico en 1978. In: Bayes A, Cosin J (eds) Diagnostico y tratamiento de las arritmias cardiacas. Doyma, Barcelona, p 92Google Scholar
  14. 14.
    Wellens HJJ, Lie KI, Janse MJ (eds) The conduction system of the heart. Stenfert Kroese, Leiden, p 545Google Scholar
  15. 15.
    Fontaine G, Guiraudon G, Frank R, Vedel J, Coutte R, Dragodanne C (1976) Epicardial mapping and surgical threatment in 6 cases of resistant ventricular tachycardia not related to coronary artery disease. In: Wellens HJJ, Lie KI, Janse MJ (eds) The conduction system of the heart. Stenfert Kroese, Leiden, p 545Google Scholar
  16. 16.
    Gallagher JJ, Ideker RE, Smith WM, Kasell JH, Harrison L, Wallace AG (1978) Epicardial mapping of ventricular arrhythmias by digital computer. In: Sandoe E, Julian DG, Bell JW (eds) Management of ventricular tachycardia. Role of mexiletine. Excerpta Medica, Amsterdam, p 17Google Scholar
  17. 17.
    Durrer D, Van Dam RTh, Freud GE, Janse MJ, Meijler FL, Arzbaecher RC (1970) Total excitation of the isolated human heart. Circulation 41: 899PubMedGoogle Scholar
  18. 18.
    Wyndham CR, Meeran MK, Smith T, Saxena A, Engelman RM, Levitski S, Rosen KM (1979) Epicardial activation of the intact human heart without conduction defects. Circulation 59: 161PubMedGoogle Scholar
  19. 19.
    Fontaine G, Frank R, Guiraudon G, Gallais-Hammono F, Champarnaud JF (1976) Interet d’un mini-ordinateur pour le trace des cartographies epicardiques dans le traitement chirugical de la tachycardie ventriculaire. Ann Cardiol Angeiol (Paris) 25: 343Google Scholar
  20. 20.
    Denes P, Wu D, Dhingra RC, Wyndham C, Mautner RK, Rosen KM (1976) Electrophysiological studies in patients with chronic recurrent ventricular tachycardia. Circulation 54: 229PubMedGoogle Scholar
  21. 21.
    Josephson ME, Horowitz LN, Farshidi A, Kastor JA (1978) Recurrent sustained ventricular tachycardiaI-mechanism. Circulation 57: 431PubMedGoogle Scholar
  22. 22.
    Fontaine G, Guiraudon G, Frank R, Vedel J, Grosgogeat Y, Cabrol C, Facquet J (1977) Stimulation studies and epicardial mapping in ventricular tachycardia. Study of mechanisms and selection for surgery. In: Kulbertus H (ed) Reentrant arrhythmias. MTP, Lancaster, p 334Google Scholar
  23. 23.
    Josephson ME, Harken AH, Horowitz LN (1979) Endocardial excision. A new surgical technique for the treatment of recurrent ventricular tachycardia. Circulation 60: 1430PubMedGoogle Scholar
  24. 24.
    Barold SS (1975) Therapeutic uses of cardiac pacing in tachyarrhythmias. In: Narula OS, His bundle electrocardiolgraphy and clinical electrophysiology. Davis, Philadelphia, p 407Google Scholar
  25. 25.
    Favaloro RG, Effler LK (1968) Ventricular aneurysm. Clinical experience. Ann Thorac Surg 6: 227PubMedCrossRefGoogle Scholar
  26. 26.
    Hunt D, Sloman G, Westlake G (1969) Ventricular aneurysmectomy for recurrent tachycardia. Br Heart J 31: 264PubMedCrossRefGoogle Scholar
  27. 27.
    Magidson O (1969) Resection of post-myocardial infarction. Ventricular aneurysm for cardiac arrhythmias. Dis Chest 56: 211PubMedCrossRefGoogle Scholar
  28. 28.
    Ritter ER (1969) Intractable ventricular tachycardia due to ventricular aneurysm with surgical cure. Ann Intern Med 71: 1155PubMedGoogle Scholar
  29. 29.
    Kay JH, Dunn E, Krohn BG (1970) Left ventricular excision exclusion or plication for akinetic areas of the heart. J Thorac Cardiovasc Surg 59: 139PubMedGoogle Scholar
  30. 30.
    Thind GS, Blakemore WS, Zinsser HF (1971) Ventricular aneurysmectomy for the treatment of recurrent ventricular tachy-arrhythmia. Am J Cardiol 27: 690PubMedCrossRefGoogle Scholar
  31. 31.
    Hazan E, Bloch G, Rioux C, Louville Y, Cirotteau Y, Mathey J (1973) Surgical treatment of aneurysm and segmental dyskinesia of the left ventricular wall after myocardial infarction. Am J Cardiol 31: 708PubMedCrossRefGoogle Scholar
  32. 32.
    Loop FD, Effler DB, Navia JA, Sheldon WC, Groves LK (1973) Aneurysms of the left ventricle. Survival and results of a ten-year surgical experience. Ann Surg 178: 399PubMedCrossRefGoogle Scholar
  33. 33.
    Gallagher JJ, Oldham HN, Wallace AG, Peter RH, Kasell JH (1975) Ventricular aneurysm with ventricular tachycardia. Report of a case with epicardial mapping and successful resection. J Cardiol 35: 696CrossRefGoogle Scholar
  34. 34.
    Donaldson RM, Honey M, Balcon R, Banim SO, Sturridge MF, Wright JEC (1976) Surgical treatment of postinfarction left ventricular aneurysm in 32 patients. Br Heart J 38: 1223PubMedCrossRefGoogle Scholar
  35. 35.
    Ecker R, Mullins CB, Grammer JC (1971) Control of intractable ventricular tachycardia by coronary revascularization. Circulation 44: 666PubMedGoogle Scholar
  36. 36.
    Graham AF, Miller DC, Stinson EB, Daily PO, Fogarty TJ, Harrison DC (1973) Surgical treatment of refractory life-threatening ventricular tachycardia. Am J Cardiol 32: 909PubMedCrossRefGoogle Scholar
  37. 37.
    Bryson AL, Parisi AF, Scheter E, Wolfson S (1973) Life-threatening ventricular arrhythmias induced by exercises. Cessation after coronary bypass surgery. Am J Cardiol 32: 995PubMedCrossRefGoogle Scholar
  38. 38.
    Nordstrom LA, Lillehei JP, Adicoff A, Sako Y, Gobel FL (1975) Coronary artery surgery for recurrent ventricular arrhythmias in patients with variant angina. Am Heart J 89: 236PubMedCrossRefGoogle Scholar
  39. 39.
    Tilkian AG, Pfeifer JF, Barry WH, Lipton MJ, Hultgren HN (1976) The effect of coronary bypass surgery on exercise-induced ventricular arrhythmias. Am Heart J 92: 707PubMedCrossRefGoogle Scholar
  40. 40.
    Ricks WB, Winkle RA, Shumway NE, Harrison DC (1977) Surgical management of life- threatening ventricular arrhythmias in patients with coronary artery disease. Circulation 56: 38PubMedGoogle Scholar
  41. 41.
    Macintosh HD, Garcia JA (1978) The first decade of aortocoronary bypass grafting. Circulation 57: 405Google Scholar
  42. 42.
    Fontaine G, Guiraudon G, Frank R, Vedel J, Grosgogeat Y, Cabrol C (1978) The concept of reentry and the surgical treatment of ventricular tachycardia. In: Sandoe E, Julian DG, Bell JW (eds) Management of ventricular tachycardia. Role of mexiletine. Excerpta Medica, Amsterdam, p 622Google Scholar
  43. 43.
    Guiraudon G, Fontaine G, Frank R, Escande G, Etievent P, Cabrol C (1978) Encircling endocardial ventriculotomy. A new surgical treatment for life-threatening ventricular tachycardias resistant to medical treatment following myocardial infarction. Ann Thorac Surg 26: 438PubMedCrossRefGoogle Scholar
  44. 44.
    Durrer D, Schoo L, Schuilenburg RM, Wellens HJJ (1967) The role of premature beats in the initiation and termination of supraventricular tachycardia in the WPW syndrome. Circulation 36: 644PubMedGoogle Scholar
  45. 45.
    Dreifus LS, Nichols H, Morse D, Watanabe Y, Truex R (1968) Control of recurrent tachycardia of WPW syndrome by surgical ligature of the A-V bundle. Circulation 38: 1030PubMedGoogle Scholar
  46. 46.
    Cobb FR, Blumenschein SD, Sealy WC, Boineau JP, Wagner GS, Wallace AG (1968) Successful surgical interruption of the bundle of kent in a patient with Wolff-Parkinson-White syndrome. Circulation 38: 1018PubMedGoogle Scholar
  47. 47.
    Burchell HB, Frye RL, Anderson MW, McGoon DC (1967) Atrioventricular and ventriculoatrial excitation in WPW syndrome type(B). Temporary ablation at surgery. Circulation 36: 663PubMedGoogle Scholar
  48. 48.
    Durrer D, Roos JP (1967) Epicardial excitation of the ventricles in a patient with WPW syndrome ( Type B ). Circulation 35: 15PubMedGoogle Scholar
  49. 49.
    Wellens HJJ, Durrer DR, Lie KI (1976) Observations on mechanisms of ventricular tachycardia in man. Circulation 54: 237PubMedGoogle Scholar
  50. 50.
    Wellens HJJ, Lie KI, Durrer D (1974) Further observations on ventricular tachycardias as studied by electrical stimulation of the heart. Circulation 49: 647PubMedGoogle Scholar
  51. 51.
    Spurrell RAJ, Yates AK, Thornburn CW, Sowton GE, Deachar DC (1975) Surgical treatment of ventricular tachycardia after epicardial mapping studies. Br Heart J 37: 115PubMedCrossRefGoogle Scholar
  52. 52.
    Fontaine G, Guiraudon G, Frank R, Gerbaux A, Cousteau JP, Barillon A, Gay J, Cabrol C, Facquet J (1975) La cartographie epicardique et le traitement chirurgical par simple ventriculotomie de certaines tachycardies ventriculaires rebelles par reentree. Arch Mai Coeur 68: 113Google Scholar
  53. 53.
    Frank R, Haiat R, Fontaine G, Grosgogeat Y, Guiraudon G (1975) Ventricular epicardial mapping in a case of left ventricular conduction disturbances due to an old myocardial infarction. In: Cergueira-Gomes M (ed) Recent advances in ventricular conduction. Karger, Basel, p 87Google Scholar
  54. 54.
    Barr L, Dewey MM, Berger W (1965) Propagation of action potentials and the struc-ture of the nexus in cardiac muscle. J Gen Physiol 48: 797PubMedCrossRefGoogle Scholar
  55. 55.
    Josephson ME, Horowitz LN, Farshidi A, Spear JF, Kastor JA, Moore EN (1978) Re-current sustained ventricular tachycardia. II. Endocardial mapping. Circulation 57: 440PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1980

Authors and Affiliations

  • G. Fontaine
  • G. Guiraudon
  • R. Frank
  • F. Fillette
  • J. Tonet
  • Y. Grosgogeat
    • 1
  1. 1.Service de Cardiologie du Professeur Y. GrosgogeatHôpital de la SalpetriereParisFrance

Personalised recommendations