Electrical storm originating from a left ventricular epicardial scar in a patient with completely normal endocardial voltage

Eduardo Back Sternick; Christopher Piorkowski; Gerhard Hindricks; Nikolaos Dagres; Philipp Sommer

doi:10.1007/s00380-010-0109-x

Electrical storm originating from a left ventricular epicardial scar in a patient with completely normal endocardial voltage

Heart Vessels. 2011 Nov;26(6):663-6. doi: 10.1007/s00380-010-0109-x. Epub 2011 Jan 28.

Authors

Eduardo Back Sternick¹, Christopher Piorkowski, Gerhard Hindricks, Nikolaos Dagres, Philipp Sommer

Affiliation

¹ Electrophysiology Unit, Biocor Instituto, Nova Lima, Brazil.

PMID: 21274719
DOI: 10.1007/s00380-010-0109-x

Abstract

We report a patient with non-ischemic dilated cardiomyopathy presenting with an electrical storm because of a poorly tolerated monomorphic ventricular tachycardia. Electroanatomical mapping revealed a scar restricted to the epicardium, whereas the endocardial voltage map was completely normal. Epicardial catheter ablation based on substrate mapping and limited pace and entrainment mapping eliminated the tachycardia.

Publication types

Case Reports

MeSH terms

Cardiac Pacing, Artificial
Cardiomyopathy, Dilated / complications*
Cardiomyopathy, Dilated / pathology
Cardiomyopathy, Dilated / physiopathology
Catheter Ablation
Cicatrix / complications*
Cicatrix / pathology
Cicatrix / physiopathology
Cicatrix / surgery
Electrocardiography
Electrophysiologic Techniques, Cardiac
Heart Ventricles / pathology*
Heart Ventricles / physiopathology
Heart Ventricles / surgery
Humans
Male
Middle Aged
Pericardium / pathology*
Pericardium / physiopathology
Pericardium / surgery
Stroke Volume
Tachycardia, Ventricular / diagnosis
Tachycardia, Ventricular / etiology*
Tachycardia, Ventricular / pathology
Tachycardia, Ventricular / physiopathology
Tachycardia, Ventricular / surgery
Treatment Outcome
Ventricular Function, Left