Abstract
Much has been learned about the activation sequence of stable arrhythmias by recording directly from the epicardium with a single electrode (1). By recording from numerous epicardial sites in sequence with a single, hand-held electrode, the global sequence of epicardial activation can be determined when activation occurs in repeating, identical cycles as during a stable arrhythmia. The importance of the information gained with the hand-held electrode has been demonstrated by the successful surgical treatment of over one-hundred patients with recurrent, drug-resistant arrhythmias secondary to the Wolff-Parkinson-White syndrome (2).
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References
Gallagher JJ, Kasell J, Sealy WC, Pritchett ELC, Wallace AG: Epicardial mapping in the Wolff-ParkinsonWhite syndrome. Circulation 57: 854–866, 1978.
Gallagher JJ, Gilbert M, Svenson RH, Sealy WC, Kasell J, Wallace AG: Wolff-Parkinson-White syndrome: The problem, evaluation, and surgical correction. Circulation 51: 767–785, 1975.
Klein GJ, Ideker RE, Smith WM, Harrison LA, Kasell J, Wallace AG, Gallagher JJ: Epicardial mapping of the onset of ventricular tachycardia initiated by programmed stimulation in the canine heart with chronic infarction. Circulation 60; 1375–1384, 1979.
Sano T, Scher AM: Multiple recording during electrically induced atrial fibrilration. Circ Res 14: 117–125, 1964.
Smith RA, El-Sherif N, Evans AK: Epicardial mapping of ventricular reentrant pathways in the late myocardial infarction period (abstract). Am J Cardiol 41: 427, 1978.
Harumi K, Wyatt R, Lux R, Abildskov JA, Smith CR: initiating mechanisms of ventricular fibrillation (abstract). Am J Cardiol 43: 374, 1979.
Smith WM, Ideker RE, Kinicki RE, Harrison LA, Wallace AG, Gallagher JJ: A computer system for the online study of ventricular arrhythmias. Computers in Cardiology. Long Beach, IEEE, 1977, p 311–316.
Ideker RE, Smith WM, Wallace AG, Kasell J, Harrison LA, Klein GJ, Kinicki RE, Gallagher JJ. A computerized method for the rapid display of ventricular activation during the intraoperative study of arrhythmias. Circulation 59: 449–458, 1979.
Ideker RE, Klein GJ, Harrison L, Smith WM, Kasell J, Reimer KA, Wallace AG, Gallagher JJ: Epicardial mapping of the transition to ventricular fibrillation induced by reperfusion following acute ischemia in the dog (submitted for publication).
Durrer D, van der Twell LH: Excitation of the left ventricular wall of the dog and goat. Ann NY Acad Sci 65: 779–803, 1957.
I. Barr RC, Gallie TM, Spach MS: Automated construction and display of spatial maps of cardiac electrophysiological events for heart or body surfaces. II. Construction of contour maps Comp Biomed Rev (in press).
Davidow LS, Brown PB: A contour mapping algorithm suitable for small computers. In Computer Technology in Neuroscience, Brown PB (ed), New York, John Wiley and Sons, 1975, p 321–335.
Josephson ME, Horowitz LN, Farshidi A, Kastor JA: Recurrent sustained ventricular tachycardia. 1. Mechanisms. Circulation 57: 431–440, 1978.
Denes P, Wu D, Dhingra RC, Amat-Y-Leon F, Wyndham C, Mautner RK, Rosen KM: Electrophysiological studies in patients with chronic recurrent ventricular tachycardia. Circulation 54: 229–236, 1976.
Wellens HJJ, Durrer DR, Lie KI: Observations on mechanisms of ventricular tachycardia in man. Circulation 54: 237–244, 1976.
Drew TM, Josephson ME, Horowitz LM, Kastor JA, Herling I: The significance of the repetitive ventricular response to programmed ventricular stimulation (abstract). Clin Res 25: 218A, 1977.
Han J, DeJabon PDG, Moe GK: Fibrillation threshold of premature ventricular responses. Circ Res 18: 18–25, 1966.
Sugimoto T, Schaal SF, Wallace AG: Factors determining vulnerability to ventricular fibrillation induced by 60-CPS alternating current. Circ Res 21: 601–608, 1967.
Surawicz B: Ventricular fibrillation. Am J Cardiol 28: 268–287, 1971.
Allessie MA, Bonke FIM, Schopman FJG: Circus movement in rabbit atrial muscle as a mechanism of tachycardia. 3. The “leading circle” concept: a new model of circus movement in cardiac tissue without the involvement of an anatomical obstacle. Circ Res 41: 9–18, 1977.
Sasyniuk BI, Mendez C: A mechanism for reentry in canine ventricular tissue. Circ Res 28: 3–15, 1971.
Spach MS, Barr RC: Analysis of ventricular activation and repolarization from intramural and epicardial potential distributions for ectopic beats in the intact dog. Circ Res 37: 830–843. 1975
Zipes DP: Electrophysiological mechanisms involved in ventricular fibrillation. Circulation 52 (III) 120–130, 1975.
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© 1980 Martinus Nijhoff Publishers bv, The Hague
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Ideker, R.E. et al. (1980). Epicardial Activation Sequences During the Onset of Ventricular Tachycardia and Ventricular Fibrillation. In: Kulbertus, H.E., Wellens, H.J.J. (eds) Sudden Death. Developments in Cardiovascular Medicine, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8834-7_10
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DOI: https://doi.org/10.1007/978-94-009-8834-7_10
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-009-8836-1
Online ISBN: 978-94-009-8834-7
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