Entrainment Mapping

Saurabh Kumar; Usha B Tedrow; William G Stevenson

doi:10.1016/j.ccep.2016.10.004

Entrainment Mapping

Card Electrophysiol Clin. 2017 Mar;9(1):55-69. doi: 10.1016/j.ccep.2016.10.004.

Authors

Saurabh Kumar¹, Usha B Tedrow¹, William G Stevenson²

Affiliations

¹ Arrhythmia Service, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
² Arrhythmia Service, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. Electronic address: wstevenson@partners.org.

PMID: 28167086
DOI: 10.1016/j.ccep.2016.10.004

Abstract

Mapping during ventricular tachycardia (VT) aims to elucidate mechanism, describe myocardial propagation, and identify the origin and critical regions of VT that can be targeted for ablation, most commonly with radiofrequency ablation. Most VTs in structural heart disease are due to macro-reentry in and around scar. A combination of mapping techniques, including mapping to identify the arrhythmia substrate, activation sequence mapping, pace-mapping, and entrainment mapping, may be used to identify putative ablation targets. This review describes the principles of entrainment mapping as it pertains to catheter ablation of scar-related VT.

Keywords: Catheter ablation; Concealed entrainment; Entrainment mapping; Fusion; Postinfarction; Resetting; Ventricular tachycardia.

Publication types

Review

MeSH terms

Cardiac Pacing, Artificial
Catheter Ablation
Electrocardiography / methods*
Heart Conduction System / physiopathology
Humans
Myocardial Infarction / physiopathology
Tachycardia, Ventricular* / diagnosis
Tachycardia, Ventricular* / pathology
Tachycardia, Ventricular* / physiopathology
Tachycardia, Ventricular* / surgery