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Image Search Results
Journal: CJC Pediatric and Congenital Heart Disease
Article Title: Navigating Arrhythmias in Tetralogy of Fallot Throughout the Lifespan: A Case-based Review
doi: 10.1016/j.cjcpc.2023.09.006
Figure Lengend Snippet: Nonautomatic focal atrial tachycardia (NAFAT). ( A ) A 3-dimensional electroanatomic activation map in a left anterior oblique view with a caudal tilt. Activation times are color-coded, from red (earliest) to purple (latest). Radial spread of activation from a focal source at the anterior margin of the inferior vena cava (IVC) is observed. The yellow spheres indicate the position of the His bundle. ( B ) Termination of the NAFAT during the first radiofrequency application (≤1.1 seconds). Shown are surface leads II, avF, V1, and V6, and intracardiac electrograms recorded from distal (ABL d ) and proximal electrode pairs of the ablation catheter (ABL d ), distal (HIS d ) and proximal (HIS p ) His bundle catheter, proximal (CS 9-10 ) to distal (CS 1-2 ) coronary sinus, and right ventricular apex (RVA). The red As and blue Vs indicate atrial and ventricular electrograms, respectively. SVC, superior vena cava.
Article Snippet: Potential critical isthmuses for the sustained ventricular tachycardia were identified by 3-dimensional
Techniques: Activation Assay
Journal: CJC Pediatric and Congenital Heart Disease
Article Title: Navigating Arrhythmias in Tetralogy of Fallot Throughout the Lifespan: A Case-based Review
doi: 10.1016/j.cjcpc.2023.09.006
Figure Lengend Snippet: Electrophysiology study before peripulmonary valve replacement. ( A ) Monomorphic ventricular tachycardia (VT) at a cycle length of 257 milliseconds is induced. Activation mapping could not be performed in VT due to haemodynamic instability, prompting antitachycardia overdrive pacing. Three-dimensional electroanatomic maps in sinus rhythm are shown in anteroposterior ( B ) and posteroanterior ( C ) views. Voltages ≥1.5 mV are represented in purple (normal tissue), whereas scar (≤0.5 mV) is color-coded red. Right (RPA) and left (LPA) pulmonary arteries, right ventricular outflow tract (RVOT) patch, right ventricular (RV) apex, pulmonary valve annulus, ventricular septal defect (VSD) patch, and the tricuspid valve are identified. Pace mapping was performed at the potential critical isthmuses for macroreentrant VT. The best pace map ( D ; 92% match) was obtained at the level of the asterisk along the isthmus between the VSD patch and pulmonary valve annulus.
Article Snippet: Potential critical isthmuses for the sustained ventricular tachycardia were identified by 3-dimensional
Techniques: Activation Assay