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Dr. J.L. Mont Girbau: ¿Cómo reducir las descargas en pacientes portadores de DAI?
1. How to decrease Shock Therapy: Present and future of Catheter ablation Thorax Institute. Hospital Clinic University of Barcelona
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5. Prophylactic Catheter Ablation for the Prevention of Defibrillator Therapy Reddy et al. N Engl J Med 2007 Decrease the number of appropriate shocks!
24. Cardiac Image by ce-CMR Value in identifying scar location Epicardial VT in a patient with a noncompaction of the LV - Hyperenhancement (scar) - Abnormal electrograms
In 2004 we demonstrated that it is posible to identify the epicardial origin of the ventricular activation on the surface ECG. To demonstrate the hypothesis that epicardial pacing increases the initial duration of the QRS with respect to the endocardial pacing, we paced several patients from the epicardium and the endocardium of the LV free wall at a similar site When pacing was performed from the epicardium, as compared when the stimulus was delivered from the endocardium: 1) Although we obtained a similar QRS configuration 2) the presence of a pseudo delta wave increased the duration of the initial part of the QRS complex and 3) this pseudo delta wave matched with the transmural activation time.