Endless idiopathic ventricular tachycardia radiofrequency catheter ablation of emergency.docVIP

 PAGE \* MERGEFORMAT 7 Endless idiopathic ventricular tachycardia radiofrequency catheter ablation of emergency Idiopathic ventricular tachycardia (IVT) is the means by routine clinical examination found no organic heart disease special type of ventricular tachycardia (VT), in clinical practice about 10%. Is generally believed that, IVT attack hemodynamic smaller, the prognosis is good, so for the emergency radiofrequency catheter ablation (ERFCA) provides possible. We have continued to attack in 11 cases of IVT Downlink ERFCA success, are reported as follows: An information and The clinical data of 6 males and 5 females, aged 35 to 56 years, recurrent tachycardia 2 to 15 years, 11 cases were v. palpitations, dizziness, 1 case with chest pain, 1 case had history of syncope. After physical examination and body surface electrocardiogram (ECG), X-ray, echocardiography and dynamic electrocardiogram (Holter) and other tests found no organic heart disease, and to recurrent VT primary endless-type manifestations, VT under the blood pressure In the 80 ~ 110/40 ~ 60mmHg (1mmHg = 0.133Kpa). 5 cases of left ventricular IVT surface ECG showed right bundle branch block graphics (RBBB), with electrical axis left side, six cases of right ventricular IVT surface ECG showed left bundle branch block graphics (LBBB) with electrical axis shifted to the right. All cases of esophageal electrocardiogram (ESO) in the VT attack Jun Cheng atrioventricular separation. Cardiac electrophysiological mapping and radiofrequency ablation of VT continued to attack in the conventional trace recorded under the standard 12-lead ECG, routine puncture the right internal jugular vein and left femoral vein, 6F4 polar mapping electrodes were sent to the coronary sinus, right ventricular apex and the His bundle. IVT program after the termination of electrophysiological examination (atrial and ventricular S1S1, S1S2, S1S2S3, S1S2S3S4), to exclude supraventricular tachycardia, based