Intini Anselma, Goldstein Robert N, Jia Ping, Ramanathan Charulatha, Ryu Kyungmoo, Giannattasio Bartolomeo, Gilkeson Robert, Stambler Bruce S, Brugada Pedro, Stevenson William G, Rudy Yoram, Waldo Albert L
Department of Medicine (Cardiology), Case Western Reserve University/University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
Heart Rhythm. 2005 Nov;2(11):1250-2. doi: 10.1016/j.hrthm.2005.08.019.
We report the first clinical application of electrocardiographic imaging (ECGI), a new, noninvasive imaging modality for arrhythmias, in an athlete with focal ventricular tachycardia (VT) originating from a left ventricular (LV) diverticulum. A reconstructed map of the epicardial activation sequence during a single premature ventricular complex (PVC) of an identical QRS morphology to the clinical VT, generated from 224-electrode body surface ECGs and a chest CT (ECGI), localized the PVC to the site of the diverticulum. This correlated with subsequent maps obtained using standard techniques. We describe the first case that used ECGI to guide diagnosis and therapy of a clinical tachyarrhythmia.
我们报告了心电图成像(ECGI)这一用于心律失常的新型非侵入性成像方式在一名患有源自左心室憩室的局灶性室性心动过速(VT)的运动员中的首次临床应用。从224电极体表心电图和胸部CT(ECGI)生成的与临床VT形态相同的单个室性早搏(PVC)期间的心外膜激动序列重建图,将PVC定位到憩室部位。这与使用标准技术获得的后续图谱相关。我们描述了首例使用ECGI指导临床快速性心律失常诊断和治疗的病例。