Deductive Electrocardiographic Analysis of Left Ventricular Summit Arrhythmias.

Card Electrophysiol Clin

Division of Cardiology, Queen's University, Kingston, Ontario, Canada. Electronic address:

Published: March 2023

The left ventricular summit is a source of idiopathic ventricular arrhythmias and presents distinct challenges for mapping and ablation. These arrhythmias are typically targeted from the distal coronary venous system or most often from endocardial vantage points such as the left coronary cusp, basal left ventricle or septal right ventricular outflow tract. In this article, we review the electrocardiographic patterns that suggest a possible origin from the left ventricular summit and the features that may help to predict the most likely site of successful ablation.

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http://dx.doi.org/10.1016/j.ccep.2022.04.004DOI Listing

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