Kotake Yasuhito, Nalliah Chrishan J, Campbell Timothy, Trivic Ivana, Ross Neil, Bennett Richard G, Turnbull Samual, Kumar Saurabh
Department of Cardiology, Westmead Hospital, Sydney, Australia.
Westmead Applied Research Centre, University of Sydney, New South Wales, Australia.
J Innov Card Rhythm Manag. 2021 Apr 15;12(4):4467-4472. doi: 10.19102/icrm.2021.120402. eCollection 2021 Apr.
In ischemic cardiomyopathy, endocardial reentry has traditionally been the mechanistic paradigm for understanding ventricular tachycardia (VT). However, recognition is growing that epicardial myocardium is a critical component for VT substrate, even in patients with ischemic cardiomyopathy. In this report, we present a novel case of a three-dimensional VT reentry involving epicardial components and an endocardial exit.
在缺血性心肌病中，心内膜折返一直是理解室性心动过速（VT）的传统机制范例。然而，越来越多的认识表明，即使在缺血性心肌病患者中，心外膜心肌也是室性心动过速基质的关键组成部分。在本报告中，我们展示了一例涉及心外膜成分和心内膜出口的三维室性心动过速折返的新病例。
