Bibliographic Details
| Title: |
Unique features of epicardial ventricular arrhythmias/premature ventricular complexes ablated from coronary venous system in veteran population |
| Authors: |
Philip L. Mar, Mamta Barmeda, Marcelle A. Stucky, Subodh R. Devabahktuni, Jason Garlie, John M. Miller, Rahul Jain |
| Source: |
Indian Pacing and Electrophysiology Journal, Vol 20, Iss 3, Pp 97-104 (2020) |
| Publisher Information: |
Elsevier, 2020. |
| Publication Year: |
2020 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
Premature ventricular complex, Ventricular arrhythmias, Radiofrequency ablation, Coronary venous system, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Introduction: Ventricular arrhythmias/premature ventricular complexes (VA/PVCs) that can be ablated from within the coronary venous system (CVS) have not been described in the United States Veterans Health Administration (VHA) population. We retrospectively studied the VA/PVCs ablations that were performed in the VHA population. Methods: Data from 42 consecutive patients who underwent VA/PVCs ablation at Veterans Affairs Hospital, Indianapolis, IN, with 44 VA/PVCs was included in the study. Patients were divided into two groups (CVS group [n = 10], and non-CVS group [n = 32]) based on where the earliest pre-systolic activation was seen with >95% pacematch. Results: The mean age in CVS group was 65 ± 8 years versus 64 ± 12 years (p = 0.69) in non-CVS group. Overall there was a statistically significant reduction in PVC burden post ablation (27.7% (pre-ablation) versus 4.7% (post-ablation). In the 10 patients in the CVS group, either ablation or catheter-related mechanical trauma resulted in complete (n = 6 [60%]) or partial (n = 4 [40%]) long-term suppression of VA/PVCs. Right bundle branch block-type VA/PVC (9/11: 82%) was the most common morphology in the CVS group, whereas in the non-CVS group, this type was seen in only 3/33 (9%). The CVS group (25% of total VA/PVCs) had shorter activation time compared to non CVS group. Conclusion: In our experience VA/PVCs with electrocardiograms suggestive of epicardial origin can often be safely and successfully ablated within the coronary venous system. These arrhythmias have unique features in Veterans patient population. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
0972-6292 |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S0972629220300152; https://doaj.org/toc/0972-6292 |
| DOI: |
10.1016/j.ipej.2020.02.001 |
| Access URL: |
https://doaj.org/article/095157e1c41d4844aa977e62156c07a9 |
| Accession Number: |
edsdoj.095157e1c41d4844aa977e62156c07a9 |
| Database: |
Directory of Open Access Journals |
