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A QRS axis–based algorithm to identify the origin of scar-related ventricular tachycardia in the 17-segment American Heart Association model by David Andreu; Juan Fernández-Armenta; Juan Acosta; Diego Penela; Beatriz Jáuregui; David Soto-Iglesias; Vladimir Syrovnev; Elena Arbelo; José María Tolosana; Antonio Berruezo is a Medicine article available to read on EtoBox.
What is A QRS axis–based algorithm to identify the origin of scar-related ventricular tachycardia in the 17-segment American Heart Association model about?
## Background: Previously proposed algorithms to predict the ventricular tachycardia (vt) exit site have been based on diverse left ventricular models, but none of them identify the precise region of origin in the electroanatomic map. moreover, no electrocardiographic (ecg) algorithm has been tested to predict the region of origin of scar-related vts in patients with nonischemic cardiomyopathy. ## Objective: The purpose of this study was to validate a simple ecg algorithm to identify the segment of origin (sgo) of vt relative to the 17-segment american heart association model in patients with structural heart disease (shd). ## Methods: The study included 108 consecutive patients with documented vt and shd [77 (71%) with coronary artery disease]. a novel frontal plane axis-based ecg algorithm (highest positive or negative qrs voltage) together with the polarity in leads v and v was used to predict the sgo of vt. the actual sgo of vt was obtained from the analysis of the electroanatomic map during the procedure. conventional vt mapping techniques were used to identify the vt exit. ## Results: In total, 149 12-lead ecgs of successfully ablated vt were analyzed. the ecg-suggested sgo m
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- Author
- David Andreu; Juan Fernández-Armenta; Juan Acosta; Diego Penela; Beatriz Jáuregui; David Soto-Iglesias; Vladimir Syrovnev; Elena Arbelo; José María Tolosana; Antonio Berruezo
- Published
- 2018
- Language
- EN
- Field
- Medicine (Health Sciences)