Santoro Amato, Sisti Nicolò, Baiocchi Claudia, Mandoli Giulia Elena, Biancofiore Antonio, Pistoresi Simone, Zacà Valerio, Carbone Salvatore Francesco, Focardi Marta, D'Ascenzi Flavio, Cameli Matteo
Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy.
Department of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
J Innov Card Rhythm Manag. 2022 May 15;13(5):4981-4986. doi: 10.19102/icrm.2022.130501. eCollection 2022 May.
A 38-year-old man was admitted to our hospital after ventricular tachycardia. Endocardial bipolar and unipolar voltage mapping were performed and findings were integrated with data from intracardiac echocardiography (ICE) right ventricular (RV) speckle-tracking analysis. A reduction in the strain analysis was stored in correspondence of the fragmented electrogram area. The definitive diagnosis was arrhythmogenic RV cardiomyopathy (ARVC). The integration of ICE-derived RV strain and voltage mapping could represent a successful strategy to improve the results of ablation in ARVC.
一名38岁男性在发生室性心动过速后入住我院。进行了心内膜双极和单极电压标测,并将结果与来自心腔内超声心动图(ICE)右心室(RV)斑点追踪分析的数据相结合。在碎裂电图区域对应的应变分析出现降低。最终诊断为致心律失常性右心室心肌病(ARVC)。ICE衍生的右心室应变与电压标测相结合可能是一种成功的策略,可改善ARVC的消融结果。