HeartRhythm Case Reports

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Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

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Presentation transcript:

HeartRhythm Case Reports Open chest epicardial mapping in an asymptomatic patient with Brugada syndrome Atsuyuki Watanabe, MD, Hiroshi Morita, MD, Satoshi Kawada, MD, Motomi Tachibana, MD, Yoshimasa Morimoto, MD, Hiroshi Ito, MD HeartRhythm Case Reports DOI: 10.1016/j.hrcr.2019.07.003 Copyright © 2019 Terms and Conditions

Figure 1 A: Typical Brugada-type electrocardiogram (ECG) during sinus rhythm before endocardial ablation of frequent premature ventricular contractions (PVCs). B: Typical Brugada-type ECG remaining after PVC ablation. C: Normalized ECG after epicardial ablation. ABL = ablation; Endo = endocardial; Epi = epicardial. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.07.003) Copyright © 2019 Terms and Conditions

Figure 2 A: Right ventricle (RV) endocardial mapping and a low-voltage area in the right ventricular outflow tract from the pulmonary artery to tricuspid valve. B: Late potentials at the ablation site of the targeted premature ventricular contraction (PVC) during sinus rhythm (left) and pre-potentials recorded immediately before the targeted PVC (right). HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.07.003) Copyright © 2019 Terms and Conditions

Figure 3 Multiple abnormal potentials on the right ventricle recorded by epicardial mapping during open heart surgery. Ao = aorta; PA = pulmonary artery; RVA = right ventricular apex; TVA = tricuspid valve annulus. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.07.003) Copyright © 2019 Terms and Conditions