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Programmed Stimulation During Mapping and Ablation of VT

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Cardiac Arrhythmias

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Abstract

Ventricular tachycardia and ventricular fibrillation are common causes of sudden death among patients with coronary artery disease and ischemic and nonischemic dilated cardiomyopathy and several other groups of patients. Implantable cardioverter defibrillators help save lives in patients with history of VT, but ICD shocks are painful and are associated with increased morbidity and mortality. While antiarrhythmic medications may lessen the likelihood of arrhythmia requiring shock, many patients do not tolerate these. Catheter ablation results from non-randomized registries, and several recent randomized trials are promising and suggest 70–80 % long-term success. The purpose of this chapter is to address application of electrical stimulation during mapping and ablation of ventricular tachyarrhythmias to aid with diagnosis, treatment verification, and avoidance of collateral injury.

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Abbreviations

AAD:

Antiarrhythmic drug

ERP:

Effective refractory period

LV:

Left ventricle

PPI:

Post pacing interval

QoL:

Quality of life

TCL:

Tachycardia cycle length

VF:

Ventricular fibrillation

VT:

Ventricular tachycardia

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Author information

Authors and Affiliations

  1. Division of Cardiology, Department of Medicine, Southlake Regional Health Center, Newmarket, Toronto, ON, Canada

    Yaariv Khaykin MD, FRCPC, FACC, FHRS (Faculty of Medicine)

  2. University of Toronto, Toronto, ON, Canada

    Yaariv Khaykin MD, FRCPC, FACC, FHRS (Faculty of Medicine)

  3. Heart Rhythm Program, Southlake Regional Health Centre, 105-712 Davis Drive, Newmarket, Toronto, ON, L3Y 8C3, Canada

    Yaariv Khaykin MD, FRCPC, FACC, FHRS (Faculty of Medicine)

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  1. Yaariv Khaykin MD, FRCPC, FACC, FHRS
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Correspondence to Yaariv Khaykin MD, FRCPC, FACC, FHRS .

Editor information

Editors and Affiliations

  1. Department of Cardiology, Center Hospitalier Coutances, Coutances, France

    Ambrose S. Kibos

  2. Department of Internal Medicine Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Bradley P. Knight

  3. Division of Cardiology, McGill University Health Center, Montreal, Québec, Canada

    Vidal Essebag

  4. Department of Cardiology, Miami Children's Hospital, Miami, Florida, USA

    Steven B. Fishberger

  5. School of Biology, Chemistry and Health, Manchester Metropolitan University, Manchester, United Kingdom

    Mark Slevin

  6. “Acad. Vasile Candea” Emergency Clinical Center for Cardiovascular Diseases, “Carol Davila” University of Medicine and Pharmacy, “Titu Maiorescu” University Faculty of Medicine,, Bucharest, Romania

    Ion C. Țintoiu

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Khaykin, Y. (2014). Programmed Stimulation During Mapping and Ablation of VT. In: Kibos, A., Knight, B., Essebag, V., Fishberger, S., Slevin, M., Țintoiu, I. (eds) Cardiac Arrhythmias. Springer, London. https://doi.org/10.1007/978-1-4471-5316-0_39

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  • DOI: https://doi.org/10.1007/978-1-4471-5316-0_39

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  • Online ISBN: 978-1-4471-5316-0

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