Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system
Ventricular fibrillation in the absence of structural heart disease represents an important mechanism of sudden cardiac death. It is initiated by triggers originating in the distal Purkinje fibers, arising from either the right or the left ventricle. Catheter ablation of these triggers has the poten...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2015-12-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110260815000265 |
| _version_ | 1819107001803735040 |
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| author | Radu Rosu Lucian Muresan Gabriel Cismaru Mihai Puiu Marius Andronache Gabriel Gusetu Csongor Grosz Lucia Bica Olivia Sacaturean Adina Rosu Dana Pop Dumitru Zdrenghea |
| author_facet | Radu Rosu Lucian Muresan Gabriel Cismaru Mihai Puiu Marius Andronache Gabriel Gusetu Csongor Grosz Lucia Bica Olivia Sacaturean Adina Rosu Dana Pop Dumitru Zdrenghea |
| author_sort | Radu Rosu |
| collection | DOAJ |
| description | Ventricular fibrillation in the absence of structural heart disease represents an important mechanism of sudden cardiac death. It is initiated by triggers originating in the distal Purkinje fibers, arising from either the right or the left ventricle. Catheter ablation of these triggers has the potential of terminating the arrhythmia and preventing recurrence.
We present the case of an electrical storm in a 39-year old female patient with no cardiac past medical history, with recurrent episodes of idiopathic ventricular fibrillation, who was referred to our hospital for repeated episodes of syncope. The 12-lead ECG showed the presence of frequent ventricular premature beats (VPB), having a left-bundle branch block morphology and superior axis, with an “R on T” phenomenon, initiating non-sustained episodes of ventricular fibrillation. Using a three-dimensional, non-fluoroscopic mapping system (CARTO 3, Biosense Webster), the origin of the ventricular premature beat responsible for the initiation of VFib was identified and successfully ablated.
Catheter ablation of idiopathic ventricular fibrillation using a 3-dimensional mapping system is a feasible therapeutic option for patients with this type of arrhythmia. |
| first_indexed | 2024-12-22T02:47:06Z |
| format | Article |
| id | doaj.art-ce1f1d74efeb42539728c08958f57f7c |
| institution | Directory Open Access Journal |
| issn | 1110-2608 |
| language | English |
| last_indexed | 2024-12-22T02:47:06Z |
| publishDate | 2015-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-ce1f1d74efeb42539728c08958f57f7c2022-12-21T18:41:29ZengSpringerOpenThe Egyptian Heart Journal1110-26082015-12-0167434935210.1016/j.ehj.2015.03.001Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping systemRadu Rosu0Lucian Muresan1Gabriel Cismaru2Mihai Puiu3Marius Andronache4Gabriel Gusetu5Csongor Grosz6Lucia Bica7Olivia Sacaturean8Adina Rosu9Dana Pop10Dumitru Zdrenghea11Rehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaInstitut Lorrain du Coeur et des Vaisseaux «Louis Mathieu», Cardiology Service, Electrophysiology Department, 54000 Nancy, FranceRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaClinics of the district of Neumarkt, Medical Clinic I, Nürnberger Str 12, 92318 Neumarkt, GermanyRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaRehabilitation Hospital, Cardiology Service, 400347 Cluj-Napoca, Cluj, RomaniaVentricular fibrillation in the absence of structural heart disease represents an important mechanism of sudden cardiac death. It is initiated by triggers originating in the distal Purkinje fibers, arising from either the right or the left ventricle. Catheter ablation of these triggers has the potential of terminating the arrhythmia and preventing recurrence. We present the case of an electrical storm in a 39-year old female patient with no cardiac past medical history, with recurrent episodes of idiopathic ventricular fibrillation, who was referred to our hospital for repeated episodes of syncope. The 12-lead ECG showed the presence of frequent ventricular premature beats (VPB), having a left-bundle branch block morphology and superior axis, with an “R on T” phenomenon, initiating non-sustained episodes of ventricular fibrillation. Using a three-dimensional, non-fluoroscopic mapping system (CARTO 3, Biosense Webster), the origin of the ventricular premature beat responsible for the initiation of VFib was identified and successfully ablated. Catheter ablation of idiopathic ventricular fibrillation using a 3-dimensional mapping system is a feasible therapeutic option for patients with this type of arrhythmia.http://www.sciencedirect.com/science/article/pii/S1110260815000265ElectrophysiologyVentricular fibrillationCatheter ablation |
| spellingShingle | Radu Rosu Lucian Muresan Gabriel Cismaru Mihai Puiu Marius Andronache Gabriel Gusetu Csongor Grosz Lucia Bica Olivia Sacaturean Adina Rosu Dana Pop Dumitru Zdrenghea Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system The Egyptian Heart Journal Electrophysiology Ventricular fibrillation Catheter ablation |
| title | Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system |
| title_full | Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system |
| title_fullStr | Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system |
| title_full_unstemmed | Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system |
| title_short | Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system |
| title_sort | catheter ablation of idiopathic ventricular fibrillation using the carto 3 mapping system |
| topic | Electrophysiology Ventricular fibrillation Catheter ablation |
| url | http://www.sciencedirect.com/science/article/pii/S1110260815000265 |
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