The Janus Heads of ventricular Tachycardia: Single-circuit with dual exits
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 prese...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-11-01
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| Series: | Indian Pacing and Electrophysiology Journal |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629224001153 |
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| author | Devendra S. Bisht Kamal Kishor |
| author_facet | Devendra S. Bisht Kamal Kishor |
| author_sort | Devendra S. Bisht |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a4eb68fdeefb43b0a2ce7128704505c1 |
| institution | Kabale University |
| issn | 0972-6292 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj-art-a4eb68fdeefb43b0a2ce7128704505c12024-12-05T05:19:26ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922024-11-01246337346The Janus Heads of ventricular Tachycardia: Single-circuit with dual exitsDevendra S. Bisht0Kamal Kishor1Corresponding author.; Mukat Hospital & Heart Institute, Chandigarh, IndiaMukat Hospital & Heart Institute, Chandigarh, IndiaIn 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.http://www.sciencedirect.com/science/article/pii/S0972629224001153 |
| spellingShingle | Devendra S. Bisht Kamal Kishor The Janus Heads of ventricular Tachycardia: Single-circuit with dual exits Indian Pacing and Electrophysiology Journal |
| title | The Janus Heads of ventricular Tachycardia: Single-circuit with dual exits |
| title_full | The Janus Heads of ventricular Tachycardia: Single-circuit with dual exits |
| title_fullStr | The Janus Heads of ventricular Tachycardia: Single-circuit with dual exits |
| title_full_unstemmed | The Janus Heads of ventricular Tachycardia: Single-circuit with dual exits |
| title_short | The Janus Heads of ventricular Tachycardia: Single-circuit with dual exits |
| title_sort | janus heads of ventricular tachycardia single circuit with dual exits |
| url | http://www.sciencedirect.com/science/article/pii/S0972629224001153 |
| work_keys_str_mv | AT devendrasbisht thejanusheadsofventriculartachycardiasinglecircuitwithdualexits AT kamalkishor thejanusheadsofventriculartachycardiasinglecircuitwithdualexits AT devendrasbisht janusheadsofventriculartachycardiasinglecircuitwithdualexits AT kamalkishor janusheadsofventriculartachycardiasinglecircuitwithdualexits |