Dissociation of the site of origin from the site of cryo-termination of ventricular tachycardia

Pacing Clin Electrophysiol. 1983 Nov;6(6):1293-305. doi: 10.1111/j.1540-8159.1983.tb04473.x.

Abstract

We performed conventional electrogram mapping and cryomapping in dogs with one-week-old experimentally-induced myocardial infarctions and programmed stimulation-induced sustained ventricular tachycardias to assess whether there is a correlation between the "site of origin" and site of cryo-termination of ventricular tachycardia (VT). Electrogram maps showed that 4 of 8 induced sustained VTs were due to macro- and 4 of 8 to microre-entry. Local cooling of the site of origin terminated 4 of 4 microre-entrant VTs, but only 1 of 4 macrore-entrant VTs. In the other 3 macrore-entrant VTs, the sites of cryo-termination were 2, 2.5, and 4 cm distant from the sites of origin. In contrast, cooling of the mid-to-late diastolic portions of the re-entry loops terminated all 8 VTs. These data demonstrate a dissociation of the site of origin from the site of cryo-termination of macrore-entrant VT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cold Temperature*
  • Cryosurgery / methods*
  • Disease Models, Animal
  • Dogs
  • Electric Stimulation / methods
  • Electrophysiology / methods
  • Freezing
  • Ice
  • Myocardial Infarction / physiopathology
  • Tachycardia / diagnosis
  • Tachycardia / etiology*
  • Tachycardia / physiopathology
  • Tachycardia / surgery

Substances

  • Ice