Mismatch Between Cardiac Perfusion, Sympathetic Innervation, and Left Ventricular Electroanatomical Map in a Patient with Recurrent Ventricular Tachycardia

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Mismatch Between Cardiac Perfusion, Sympathetic Innervation, and Left Ventricular Electroanatomical Map in a Patient with Recurrent Ventricular Tachycardia. / Jungen, Christiane; von Gogh, Gwendolyn; Schmitt, Christiane; Kuklik, Pawel; Hoffmann, Boris; Nakajima, Kenichi; Willems, Stephan; Mester, Janos; Meyer, Christian.

in: AM J CASE REP, Jahrgang 17, 25.04.2016, S. 280-2.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Jungen, C, von Gogh, G, Schmitt, C, Kuklik, P, Hoffmann, B, Nakajima, K, Willems, S, Mester, J & Meyer, C 2016, 'Mismatch Between Cardiac Perfusion, Sympathetic Innervation, and Left Ventricular Electroanatomical Map in a Patient with Recurrent Ventricular Tachycardia', AM J CASE REP, Jg. 17, S. 280-2. https://doi.org/10.12659/ajcr.897412

APA

Jungen, C., von Gogh, G., Schmitt, C., Kuklik, P., Hoffmann, B., Nakajima, K., Willems, S., Mester, J., & Meyer, C. (2016). Mismatch Between Cardiac Perfusion, Sympathetic Innervation, and Left Ventricular Electroanatomical Map in a Patient with Recurrent Ventricular Tachycardia. AM J CASE REP, 17, 280-2. https://doi.org/10.12659/ajcr.897412

Vancouver

Bibtex

@article{5c489de936ae4f71bc2a962349c8758e,
title = "Mismatch Between Cardiac Perfusion, Sympathetic Innervation, and Left Ventricular Electroanatomical Map in a Patient with Recurrent Ventricular Tachycardia",
abstract = "BACKGROUND: Regional cardiac sympathetic denervation causes electrophysiological heterogeneity and has been found to be a predictor of potentially lethal VT.CASE REPORT: We present the case of 69-year-old patient admitted with recurrent ventricular tachycardia and a history of anterior myocardial infarction. In line with Tc-99m-MIBI-SPECT perfusion imaging, electroanatomical mapping revealed extensive LV anterior scarring as detected by low-voltage areas. Surprisingly, I-123-MIBG-SPECT showed an extensive deficit of sympathetic innervation inferior (mismatch) and anterolateral (match).CONCLUSIONS: Combination of electroanatomical mapping with tomographic imaging of innervation and perfusion might improve our understanding of the neural trigger of VT after myocardial infarction or substrate-based catheter ablation.",
keywords = "Aged, Heart/innervation, Heart Ventricles/diagnostic imaging, Humans, Male, Myocardial Perfusion Imaging, Sympathetic Nervous System/physiopathology, Tachycardia, Ventricular/physiopathology, Tomography, Emission-Computed, Single-Photon",
author = "Christiane Jungen and {von Gogh}, Gwendolyn and Christiane Schmitt and Pawel Kuklik and Boris Hoffmann and Kenichi Nakajima and Stephan Willems and Janos Mester and Christian Meyer",
year = "2016",
month = apr,
day = "25",
doi = "10.12659/ajcr.897412",
language = "English",
volume = "17",
pages = "280--2",
journal = "AM J CASE REP",
issn = "1941-5923",
publisher = "International Scientific Literature, Inc",

}

RIS

TY - JOUR

T1 - Mismatch Between Cardiac Perfusion, Sympathetic Innervation, and Left Ventricular Electroanatomical Map in a Patient with Recurrent Ventricular Tachycardia

AU - Jungen, Christiane

AU - von Gogh, Gwendolyn

AU - Schmitt, Christiane

AU - Kuklik, Pawel

AU - Hoffmann, Boris

AU - Nakajima, Kenichi

AU - Willems, Stephan

AU - Mester, Janos

AU - Meyer, Christian

PY - 2016/4/25

Y1 - 2016/4/25

N2 - BACKGROUND: Regional cardiac sympathetic denervation causes electrophysiological heterogeneity and has been found to be a predictor of potentially lethal VT.CASE REPORT: We present the case of 69-year-old patient admitted with recurrent ventricular tachycardia and a history of anterior myocardial infarction. In line with Tc-99m-MIBI-SPECT perfusion imaging, electroanatomical mapping revealed extensive LV anterior scarring as detected by low-voltage areas. Surprisingly, I-123-MIBG-SPECT showed an extensive deficit of sympathetic innervation inferior (mismatch) and anterolateral (match).CONCLUSIONS: Combination of electroanatomical mapping with tomographic imaging of innervation and perfusion might improve our understanding of the neural trigger of VT after myocardial infarction or substrate-based catheter ablation.

AB - BACKGROUND: Regional cardiac sympathetic denervation causes electrophysiological heterogeneity and has been found to be a predictor of potentially lethal VT.CASE REPORT: We present the case of 69-year-old patient admitted with recurrent ventricular tachycardia and a history of anterior myocardial infarction. In line with Tc-99m-MIBI-SPECT perfusion imaging, electroanatomical mapping revealed extensive LV anterior scarring as detected by low-voltage areas. Surprisingly, I-123-MIBG-SPECT showed an extensive deficit of sympathetic innervation inferior (mismatch) and anterolateral (match).CONCLUSIONS: Combination of electroanatomical mapping with tomographic imaging of innervation and perfusion might improve our understanding of the neural trigger of VT after myocardial infarction or substrate-based catheter ablation.

KW - Aged

KW - Heart/innervation

KW - Heart Ventricles/diagnostic imaging

KW - Humans

KW - Male

KW - Myocardial Perfusion Imaging

KW - Sympathetic Nervous System/physiopathology

KW - Tachycardia, Ventricular/physiopathology

KW - Tomography, Emission-Computed, Single-Photon

U2 - 10.12659/ajcr.897412

DO - 10.12659/ajcr.897412

M3 - SCORING: Journal article

C2 - 27109542

VL - 17

SP - 280

EP - 282

JO - AM J CASE REP

JF - AM J CASE REP

SN - 1941-5923

ER -