Bogun Frank, Morady Fred
Division of Cardiology, University of Michigan Health System, Ann Arbor, Michigan 48109-5853, USA.
J Cardiovasc Electrophysiol. 2008 Nov;19(11):1227-30. doi: 10.1111/j.1540-8167.2008.01268.x.
Nonischemic Cardiomyopathy. Mapping and ablation of ventricular tachycardia (VT) in patients with nonischemic cardiomyopathy can be challenging. In this article, we describe the approach to VT in patients with nonischemic cardiomyopathy that we use at the University of Michigan. Imaging, especially with delayed enhanced cardiac magnetic resonance imaging, plays a central role in planning a mapping and ablation procedure. During the mapping procedure, pace-mapping in conjunction with voltage maps focusing on areas with isolated potentials helps to identify scar areas that are critical for VT in these patients.
非缺血性心肌病。对非缺血性心肌病患者的室性心动过速(VT)进行标测和消融可能具有挑战性。在本文中,我们描述了密歇根大学所采用的针对非缺血性心肌病患者室性心动过速的治疗方法。影像学检查,尤其是延迟增强心脏磁共振成像,在规划标测和消融手术中起着核心作用。在标测过程中,结合关注孤立电位区域的电压图进行起搏标测,有助于识别对这些患者室性心动过速至关重要的瘢痕区域。