Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Current Cardiology Reports
Erschienen in: Current Cardiology Reports 8/2015

01.08.2015 | Invasive Electrophysiology and Pacing (EK Heist, Section Editor)

Non-invasive Mapping of Cardiac Arrhythmias

verfasst von: Ashok Shah, Meleze Hocini, Michel Haissaguerre, Pierre Jaïs

Erschienen in: Current Cardiology Reports | Ausgabe 8/2015

Einloggen, um Zugang zu erhalten

Abstract

Since more than 100 years, 12-lead electrocardiography (ECG) is the standard-of-care tool, which involves measuring electrical potentials from limited sites on the body surface to diagnose cardiac disorder, its possible mechanism, and the likely site of origin. Several decades of research has led to the development of a 252-lead ECG and computed tomography (CT) scan-based three-dimensional electro-imaging modality to non-invasively map abnormal cardiac rhythms including fibrillation. These maps provide guidance towards ablative therapy and thereby help advance the management of complex heart rhythm disorders. Here, we describe the clinical experience obtained using non-invasive technique in mapping the electrical disorder and guide the catheter ablation of atrial arrhythmias (premature atrial beat, atrial tachycardia, atrial fibrillation), ventricular arrhythmias (premature ventricular beats), and ventricular pre-excitation (Wolff-Parkinson-White syndrome).
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Oster HS, Taccardi B, Lux RL, Ershler PR, Rudy Y. Noninvasive electrocardiographic imaging: reconstruction of epicardial potentials, electrograms, and isochrones and localization of single and multiple electrocardiac events. Circulation. 1997;96:1012–24.PubMedCrossRef
2.
Tikhonov AN, Arsenin VY. Solutions of Ill-posed problems. New York: Wiley; 1977.
3.
4.
5.
6.
7.
Haissaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659–66.PubMedCrossRef
8.
Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, et al. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design: a report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society. Heart Rhythm. 2012;9:632–696 e21.PubMedCrossRef
9.
Schuessler RB, Grayson TM, Bromberg BI, Cox JL, Boineau JP. Cholinergically mediated tachyarrhythmias induced by a single extrastimulus in the isolated canine right atrium. Circ Res. 1992;71:1254–67.PubMedCrossRef
10.
Sahadevan J, Ryu K, Peltz L, Khrestian CM, Stewart RW, Markowitz AH, et al. Epicardial mapping of chronic atrial fibrillation in patients: preliminary observations. Circulation. 2004;110:3293–9.PubMedCrossRef
11.
Narayan SM, Krummen DE, Shivkumar K, Clopton P, Rappel WJ, Miller JM. Treatment of atrial fibrillation by the ablation of localized sources: CONFIRM (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation) trial. J Am Coll Cardiol. 2012;60:628–36.PubMedCentralPubMedCrossRef
12.
Haissaguerre M, Hocini M, Shah AJ, Derval N, Sacher F, Jais P, et al. Noninvasive panoramic mapping of human atrial fibrillation mechanisms: a feasibility report. J Cardiovasc Electrophysiol. 2013;24:711–7.PubMedCrossRef
13.
Haissaguerre M, Hocini M, Sanders P, Takahashi Y, Rotter M, Sacher F, et al. Localized sources maintaining atrial fibrillation organized by prior ablation. Circulation. 2006;113:616–25.PubMedCrossRef
14.
Cuculich PS, Wang Y, Lindsay BD, Faddis MN, Schuessler RB, Damiano Jr RJ, et al. Noninvasive characterization of epicardial activation in humans with diverse atrial fibrillation patterns. Circulation. 2010;122:1364–72.PubMedCentralPubMedCrossRef
15.•
Haissaguerre M, Hocini M, Denis A, Shah AJ, Komatsu Y, Yamashita S, et al. Driver domains in persistent atrial fibrillation. Circulation. 2014;130(7):530–8. This study provides description of non-invasively obtained panoramic view of drivers and passive activation during clinical atrial fibrillation substantiated by percutaneous catheter ablation.PubMedCrossRef
16.
17.
Jalife J, Berenfeld O, Mansour M. Mother rotors and fibrillatory conduction: a mechanism of atrial fibrillation. Cardiovasc Res. 2002;54(2):204–16.PubMedCrossRef
18.
Chen J, Mandapati R, Berenfeld O, Skanes AC, Gray RA, Jalife J. Dynamics of wavelets and their role in atrial fibrillation in the isolated sheep heart. Cardiovasc Res. 2000;48(2):220–32.PubMedCrossRef
19.
Zellerhoff S, Hocini M, Dubois R, Shah AJ, Ramoul K, Komatsu Y, Denis A, Daly M, Amaroui S, Jesel L, Derval N, Eliautou S, Dumas C, Bernus O, Jais P, Haissaguerre M. Mechanisms driving paroxysmal AF displayed by noninvasive panoramic imaging. Heart Rhythm 2013—34th Annual Scientific Sessions. Heart Rhythm. 2013;10(5).
20.
Lim HS, Haissaguerre M. Focused review: Mapping human atrial fibrillation to guide catheter ablation. Braunwald’s heart disease: a textbook of cardiovascular medicine. 9th ed. (digital edition) 2013.
21.
Jadidi AS, Cochet H, Shah AJ, Kim SJ, Duncan E, Miyazaki S, et al. Inverse relationship between fractionated electrograms and atrial fibrosis in persistent atrial fibrillation: combined magnetic resonance imaging and high-density mapping. J Am Coll Cardiol. 2013;62:802–12.PubMedCrossRef
22.
Lim HS, Yamashita S, Cochet H, Haissaguerre M. Delineating atrial scar by electroanatomic voltage mapping versus cardiac magnetic resonance imaging: where to draw the line? J Cardiovasc Electrophysiol. 2014;25(10):1053–6.PubMedCrossRef
23.
Wang Y, Cuculich PS, Woodard PK, Lindsay BD, Rudy Y. Focal atrial tachycardia after pulmonary vein isolation: noninvasive mapping with electrocardiographic imaging (ECGI). Heart Rhythm. 2007;4(8):1081–4.PubMedCentralPubMedCrossRef
24.
Wang Y, Schuessler RB, Damiano RJ, Woodard PK, Rudy Y. Noninvasive electrocardiographic imaging (ECGI) of scar-related atypical atrial flutter. Heart Rhythm. 2007;4(12):1565–7.PubMedCentralPubMedCrossRef
25.•
Shah AJ, Hocini M, Xhaet O, Pascale P, Roten L, Wilton SB, et al. Validation of novel 3-dimensional electrocardiographic mapping of atrial tachycardias by invasive mapping and ablation: a multicenter study. J Am Coll Cardiol. 2013;62:889–97. This prospective multicenter study provides data on the utility of non-invasive technique in diagnosing the mechanism of atrial tachycardia and the location of focal atrial arrhythmia in a wide range of clinical settings suitable for catheter ablation.PubMedCrossRef
26.
Allessie MA, de Groot NM, Houben RP, Schotten U, Boersma E, Smeets JL, et al. Electropathological substrate of long-standing persistent atrial fibrillation in patients with structural heart disease: longitudinal dissociation. Circ Arrhythm Electrophysiol. 2010;3:606–15.PubMedCrossRef
27.•
Jamil-Copley S, Bokan R, Kojodjojo P, Qureshi N, Koa-Wing M, Hayat S, et al. Noninvasive electrocardiographic mapping to guide ablation of outflow tract ventricular arrhythmias. Heart Rhythm. 2014;11:587–94. This study compared conventional ECG based algorithm with non-invasive maps for localization of clinical monomorphic premature ventricular beats. The accuracy of each method was established by guided ablation.PubMedCentralPubMedCrossRef
28.
Lai D, Sun J, Li Y, He B. Usefulness of ventricular endocardial electric reconstruction from body surface potential maps to noninvasively localize ventricular ectopic activity in patients. Phys Med Biol. 2013;58:3897–909.PubMedCentralPubMedCrossRef
29.
Cakulev I, Sahadevan J, Arruda M, Goldstein RN, Hong M, Intini A, et al. Confirmation of novel noninvasive high-density electrocardiographic mapping with electrophysiology study: implications for therapy. Circ Arrhythm Electrophysiol. 2013;6:68–75.PubMedCrossRef
30.
Intini A, Goldstein RN, Jia P, Ramanathan C, Ryu K, Giannattasio B, et al. Electrocardiographic imaging (ECGI), a novel diagnostic modality used for mapping of focal left ventricular tachycardia in a young athlete. Heart Rhythm. 2005;2(11):1250–2.PubMedCentralPubMedCrossRef
31.
Han C, Pogwizd SM, Killingsworth CR, He B. Noninvasive imaging of three-dimensional cardiac activation sequence during pacing and ventricular tachycardia. Heart Rhythm. 2011;8:1266–72.PubMedCentralPubMedCrossRef
32.
Han C, Pogwizd SM, Killingsworth CR, Zhou Z, He B. Noninvasive cardiac activation imaging of ventricular arrhythmias during drug-induced QT prolongation in the rabbit heart. Heart Rhythm. 2013;10:1509–15.PubMedCentralPubMedCrossRef
33.
Wang Y, Cuculich PS, Zhang J, Desouza KA, Vijayakumar R, Chen J, et al. Noninvasive electroanatomic mapping of human ventricular arrhythmias with electrocardiographic imaging. Sci Transl Med. 2011;3:98ra84.PubMedCentralPubMed
34.
Cuculich PS, Zhang J, Wang Y, Desouza KA, Vijayakumar R, Woodard PK, et al. The electrophysiological cardiac ventricular substrate in patients after myocardial infarction: noninvasive characterization with electrocardiographic imaging. J Am Coll Cardiol. 2011;58:1893–902.PubMedCentralPubMedCrossRef
35.••
Erkapic D, Greiss H, Pajitnev D, Zaltsberg S, Deubner N, Berkowitsch A, et al. Clinical impact of a novel three-dimensional electrocardiographic imaging for non-invasive mapping of ventricular arrhythmias—a prospective randomized trial. Europace. 2014. pii: euu282. This study observed that non-invasive system is clinically superior to map ventricular arrhythmias than the body surface ECG. In the former technique, there was significantly higher radiation exposure due to computed tomography scan.
36.
Ghosh S, Rhee EK, Avari JN, Woodard PK, Rudy Y. Cardiac memory in patients with Wolff-Parkinson-White syndrome: noninvasive imaging of activation and repolarization before and after catheter ablation. Circulation. 2008;118(9):907–15.PubMedCentralPubMedCrossRef
37.
Ghosh S, Avari JN, Rhee EK, Woodard PK, Rudy Y. Noninvasive electrocardiographic imaging (ECGI) of a univentricular heart with Wolff-Parkinson-White syndrome. Heart Rhythm. 2008;5(4):605–8.PubMedCentralPubMedCrossRef
38.
Ghosh S, Avari JN, Rhee EK, Woodard PK, Rudy Y. Hypertrophic cardiomyopathy with preexcitation: insights from noninvasive electrocardiographic imaging (ECGI) and catheter mapping. J Cardiovasc Electrophysiol. 2008;19(11):1215–7.PubMedCentralPubMedCrossRef
39.
Ghosh S, Avari JN, Rhee EK, Woodard PK, Rudy Y. Noninvasive electrocardiographic imaging (ECGI) of epicardial activation before and after catheter ablation of the accessory pathway in a patient with Ebstein anomaly. Heart Rhythm. 2008;5(6):857–60.PubMedCentralPubMedCrossRef
40.
Lindsay B, Varma N, Tchou P, Vaisawala S, Wilber D, Cakulev I, et al. Clinical validation of noninvasive electrocardiographic mapping (ECM) of arrhythmias: a multi-center experience. Heart Rhythm. 2012;9(5):S1.CrossRef
Metadaten
Titel
Non-invasive Mapping of Cardiac Arrhythmias
verfasst von
Ashok Shah
Meleze Hocini
Michel Haissaguerre
Pierre Jaïs
Publikationsdatum
01.08.2015
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 8/2015
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-015-0616-6

Weitere Artikel der Ausgabe 8/2015

Current Cardiology Reports 8/2015 Zur Ausgabe

Nuclear Cardiology (V Dilsizian, Section Editor)

Prognostic Significance of Imaging Myocardial Sympathetic Innervation

Nuclear Cardiology (V Dilsizian, Section Editor)

PET Imaging of the Human Nicotinic Cholinergic Pathway in Atherosclerosis

Invasive Electrophysiology and Pacing (EK Heist, Section Editor)

Management of Ventricular Arrhythmias in Patients with Mechanical Ventricular Support Devices

Peripheral Vascular Disease (MR Jaff, Section Editor)

Chronic Thromboembolic Pulmonary Hypertension: the End Result of Pulmonary Embolism

Invasive Electrophysiology and Pacing (EK Heist, Section Editor)

Leadless Cardiac Pacemakers: Pacing Paradigm Change

Invasive Electrophysiology and Pacing (EK Heist, Section Editor)

Pacing the Heart with Genes: Recent Progress in Biological Pacing

Neu im Fachgebiet Kardiologie

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Strenge Blutdruckeinstellung lohnt auch im Alter noch

30.04.2024 Arterielle Hypertonie Nachrichten

Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Dihydropyridin-Kalziumantagonisten können auf die Nieren gehen

30.04.2024 Hypertonie Nachrichten

Im Vergleich zu anderen Blutdrucksenkern sind Kalziumantagonisten vom Diyhdropyridin-Typ mit einem erhöhten Risiko für eine Mikroalbuminurie und in Abwesenheit eines RAS-Blockers auch für ein terminales Nierenversagen verbunden.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise