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Localization of cardiac arrhythmias : conventional noninvasive methods

Yuan, S LU ; Blomström, P ; Pehrson, S LU and Olsson, S Bertil (1991) In International Journal of Cardiac Imaging 7(3-4). p.193-205
Abstract

Noninvasive localization of the accessory pathway (AP) in patients with the Wolff-Parkinson-White syndrome and of the site of origin of ventricular tachycardia (VT) is reviewed. 12-lead electrocardiography (ECG) is the most readily available method for localization of both the AP and the site of VT origin. Many published ECG criteria are introduced. The application of body surface potential mapping, vectorcardiography, nuclear phase imaging, echocardiography, computed tomography, nuclear magnetic resonance, and signal-averaged ECG in the localization of these arrhythmogenic substrates is also described. We believe that ECG is the most sensitive noninvasive method for AP localization as well as being convenient and simple; it may be used... (More)

Noninvasive localization of the accessory pathway (AP) in patients with the Wolff-Parkinson-White syndrome and of the site of origin of ventricular tachycardia (VT) is reviewed. 12-lead electrocardiography (ECG) is the most readily available method for localization of both the AP and the site of VT origin. Many published ECG criteria are introduced. The application of body surface potential mapping, vectorcardiography, nuclear phase imaging, echocardiography, computed tomography, nuclear magnetic resonance, and signal-averaged ECG in the localization of these arrhythmogenic substrates is also described. We believe that ECG is the most sensitive noninvasive method for AP localization as well as being convenient and simple; it may be used as the only noninvasive method for the initial evaluation. The left lateral AP, which occurs with an incidence of more than 40%, could be localized preoperatively by noninvasive methods only. For localization of the site of VT origin, none of the noninvasive methods is accurate enough for guiding the surgical and catheter-mediated ablative therapies so far.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Action Potentials, Diagnostic Imaging, Echocardiography, Electrocardiography, Heart Conduction System, Heart Ventricles, Humans, Magnetic Resonance Spectroscopy, Radionuclide Ventriculography, Tachycardia, Tomography, X-Ray Computed, Wolff-Parkinson-White Syndrome, Comparative Study, Journal Article, Review
in
International Journal of Cardiac Imaging
volume
7
issue
3-4
pages
13 pages
publisher
Springer
external identifiers
  • scopus:0026324369
  • pmid:1820401
ISSN
0167-9899
DOI
10.1007/BF01797752
language
English
LU publication?
yes
id
ad5f6742-8324-4287-8b11-6f2f0592b3c7
date added to LUP
2016-11-10 17:26:47
date last changed
2024-01-04 16:12:57
@article{ad5f6742-8324-4287-8b11-6f2f0592b3c7,
  abstract     = {{<p>Noninvasive localization of the accessory pathway (AP) in patients with the Wolff-Parkinson-White syndrome and of the site of origin of ventricular tachycardia (VT) is reviewed. 12-lead electrocardiography (ECG) is the most readily available method for localization of both the AP and the site of VT origin. Many published ECG criteria are introduced. The application of body surface potential mapping, vectorcardiography, nuclear phase imaging, echocardiography, computed tomography, nuclear magnetic resonance, and signal-averaged ECG in the localization of these arrhythmogenic substrates is also described. We believe that ECG is the most sensitive noninvasive method for AP localization as well as being convenient and simple; it may be used as the only noninvasive method for the initial evaluation. The left lateral AP, which occurs with an incidence of more than 40%, could be localized preoperatively by noninvasive methods only. For localization of the site of VT origin, none of the noninvasive methods is accurate enough for guiding the surgical and catheter-mediated ablative therapies so far.</p>}},
  author       = {{Yuan, S and Blomström, P and Pehrson, S and Olsson, S Bertil}},
  issn         = {{0167-9899}},
  keywords     = {{Action Potentials; Diagnostic Imaging; Echocardiography; Electrocardiography; Heart Conduction System; Heart Ventricles; Humans; Magnetic Resonance Spectroscopy; Radionuclide Ventriculography; Tachycardia; Tomography, X-Ray Computed; Wolff-Parkinson-White Syndrome; Comparative Study; Journal Article; Review}},
  language     = {{eng}},
  number       = {{3-4}},
  pages        = {{193--205}},
  publisher    = {{Springer}},
  series       = {{International Journal of Cardiac Imaging}},
  title        = {{Localization of cardiac arrhythmias : conventional noninvasive methods}},
  url          = {{http://dx.doi.org/10.1007/BF01797752}},
  doi          = {{10.1007/BF01797752}},
  volume       = {{7}},
  year         = {{1991}},
}