title: Anatomical Ablation Strategy for Noninducible Fascicular Tachycardia.
abstract: The presence of structural heart disease does not exclude fascicular ventricular tachycardia (VT), especially if the VT is verapamil sensitive. An empirical anatomic approach is effective when fascicular VT is noninducible or if diastolic Purkinje potential (P1) cannot be recorded during VT mapping. Pace mapping at the successful ablation site is usually not effective because selective pacing of P1 is difficult and there is an antidromic activation of the proximal P1 potential.
authors.affiliation: Cardiovascular Division, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
authors.forename: Ahmed Karim
authors.initials: AK
authors.lastname: Talib
authors.affiliation: Cardiovascular Division, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan. Electronic address: akihiko-ind@umin.ac.jp.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Nogami
mesh_terms: D000328:Adult; D017115:Catheter Ablation / Q000379:methods*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D017180:Tachycardia, Ventricular / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D055815:Young Adult
keywords: Anatomical approach; Catheter ablation; Fascicular tachycardia; Verapamil-sensitive ventricular tachycardia