PMID- 28012210
OWN - NLM
STAT- MEDLINE
DCOM- 20180319
LR  - 20180319
IS  - 1540-8159 (Electronic)
IS  - 0147-8389 (Linking)
VI  - 40
IP  - 5
DP  - 2017 May
TI  - Elimination of Ventricular Arrhythmia in Catecholaminergic Polymorphic 
      Ventricular Tachycardia by Targeting "Catecholamine-Sensitive Area": A 
      Dominant-Subordinate Relationship between Origin Sites of Bidirectional 
      Ventricular Premature Contractions.
PG  - 600-604
LID - 10.1111/pace.13006 [doi]
AB  - We report on a patient diagnosed with catechoaminergic polymorphic ventricular 
      tachycardia (CPVT) who underwent catheter ablation of ventricular premature 
      contractions (VPCs) induced by epinephrine. VPCs were classified roughly into 
      three types. Type 1 and Type 2 VPCs (right bundle branch block [RBBB] 
      configuration and inferior axis) were eliminated by radiofrequency applications 
      at the left aortic sinus of Valsalva and the anterolateral papillary muscle 
      (APM), respectively. Although no spontaneous VPCs were seen after the elimination 
      of Type 1 and 2 VPCs, pacing resulting in capture at the APM induced Type 3 VPC 
      (RBBB configuration and superior axis) reproducibly. The electrophysiological 
      findings observed in our representative case have important implications both for 
      understanding the pathophysiology of CPVT and for considering therapeutic 
      strategies.
CI  - (c) 2016 Wiley Periodicals, Inc.
FAU - Shirai, Yasuhiro
AU  - Shirai Y
AD  - Heart Rhythm Center, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
FAU - Goya, Masahiko
AU  - Goya M
AD  - Heart Rhythm Center, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
FAU - Ohno, Seiko
AU  - Ohno S
AD  - Department of Cardiovascular and Respiratory Medicine, Shiga University of 
      Medical Science, Shiga, Japan.
FAU - Horie, Minoru
AU  - Horie M
AD  - Department of Cardiovascular and Respiratory Medicine, Shiga University of 
      Medical Science, Shiga, Japan.
FAU - Doi, Shozaburo
AU  - Doi S
AD  - Department of Pediatrics, Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Isobe, Mitsuaki
AU  - Isobe M
AD  - Department of Cardiovascular Medicine, Tokyo Medical and Dental University, 
      Tokyo, Japan.
FAU - Hirao, Kenzo
AU  - Hirao K
AD  - Heart Rhythm Center, Tokyo Medical and Dental University Hospital, Tokyo, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170214
PL  - United States
TA  - Pacing Clin Electrophysiol
JT  - Pacing and clinical electrophysiology : PACE
JID - 7803944
RN  - Polymorphic catecholergic ventricular tachycardia
SB  - IM
MH  - Adult
MH  - Bundle-Branch Block/*complications/diagnosis/surgery
MH  - Catheter Ablation/*methods
MH  - Female
MH  - Heart Conduction System/surgery
MH  - Humans
MH  - Tachycardia, Ventricular/*complications/diagnosis/*surgery
MH  - Treatment Outcome
MH  - Ventricular Premature Complexes/*complications/diagnosis/*surgery
OTO - NOTNLM
OT  - bidirectional ventricular premature contraction
OT  - catecholaminergic polymorphic ventricular tachycardia
OT  - catheter ablation
EDAT- 2016/12/25 06:00
MHDA- 2018/03/20 06:00
CRDT- 2016/12/25 06:00
PHST- 2016/07/17 00:00 [received]
PHST- 2016/11/14 00:00 [revised]
PHST- 2016/12/04 00:00 [accepted]
PHST- 2016/12/25 06:00 [pubmed]
PHST- 2018/03/20 06:00 [medline]
PHST- 2016/12/25 06:00 [entrez]
AID - 10.1111/pace.13006 [doi]
PST - ppublish
SO  - Pacing Clin Electrophysiol. 2017 May;40(5):600-604. doi: 10.1111/pace.13006. Epub 
      2017 Feb 14.