AI Article Synopsis

  • Ablation of premature ventricular contractions (PVCs) typically requires detailed activation mapping, but this can be challenging if PVCs are absent during the procedure.
  • An alternative method, pacemapping, has its drawbacks.
  • In a case study, a patient with frequent PVCs had no PVCs on the procedure day, yet successful ablation was achieved using electrocardiographic imaging and substrate mapping.

Article Abstract

Ablation of premature ventricular contractions (PVCs), relies mostly on a detailed activation mapping. This can be impossible to achieve in case of paucity or even absence of PVCs during the procedure. Pacemapping as an alternative has many limitations. We present a case of a patient with very frequent symptomatic PVCs, that on the day of the procedure had total absence of PVCs. We performed successful ablation based exclusively on electrocardiographic imaging confirmed by substrate mapping.

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http://dx.doi.org/10.1016/j.jelectrocard.2020.07.003DOI Listing

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