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  • Title: Successful epicardial ablation for ventricular tachycardia originating from the true apex of apical aneurysm associated with hypertrophic cardiomyopathy.
    Author: Nakao M, Watanabe M, Kamada R, Hagiwara H, Takahashi Y, Koya T, Kadosaka T, Koizumi T, Hirose M, Anzai T.
    Journal: J Electrocardiol; 2020; 61():170-174. PubMed ID: 32726710.
    Abstract:
    Hypertrophic cardiomyopathy (HCM) with apical aneurysm (AA) is rare, but has been reported to be associated with refractory ventricular tachycardias (VTs). Majority of such cases had a central isthmus of the reentry circuit on the border zone of AA. In this report, we describe a rare case of the successful epicardial ablation for a refractory VT originating from a true apex of the aneurysm in a HCM patient. Mid-diastolic potential during sustained VT was recorded at the isolated epicardial myocardium surround by the gross unexcitable scar in AA, and radiofrequency current application rendered VT non-inducible.
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