作者
Ashok J Shah, Meleze Hocini, Olivier Xhaet, Patrizio Pascale, Laurent Roten, Stephen B Wilton, Nick Linton, Daniel Scherr, Shinsuke Miyazaki, Amir S Jadidi, Xingpeng Liu, Andrei Forclaz, Isabelle Nault, Lena Rivard, Michala EF Pedersen, Nicolas Derval, Frederic Sacher, Sebastien Knecht, Pierre Jais, Remi Dubois, Sandra Eliautou, Ryan Bokan, Maria Strom, Charu Ramanathan, Ivan Cakulev, Jayakumar Sahadevan, Bruce Lindsay, Albert L Waldo, Michel Haissaguerre
发表日期
2013/9/3
期刊
Journal of the American College of Cardiology
卷号
62
期号
10
页码范围
889-897
出版商
American College of Cardiology Foundation
简介
Objectives
This study prospectively evaluated the role of a novel 3-dimensional, noninvasive, beat-by-beat mapping system, Electrocardiographic Mapping (ECM), in facilitating the diagnosis of atrial tachycardias (AT).
Background
Conventional 12-lead electrocardiogram, a widely used noninvasive tool in clinical arrhythmia practice, has diagnostic limitations.
Methods
Various AT (de novo and post-atrial fibrillation ablation) were mapped using ECM followed by standard-of-care electrophysiological mapping and ablation in 52 patients. The ECM consisted of recording body surface electrograms from a 252-electrode-vest placed on the torso combined with computed tomography–scan-based biatrial anatomy (CardioInsight Inc., Cleveland, Ohio). We evaluated the feasibility of this system in defining the mechanism of AT—macro–re-entrant (perimitral, cavotricuspid isthmus-dependent, and roof-dependent circuits …
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