TY - JOUR
T1 - Computerized potential distribution mapping
T2 - A new intraoperative mapping technique for ventricular tachycardia surgery
AU - Harada, Atsushi
AU - Tweddell, James S.
AU - Schuessler, Richard B.
AU - Branham, Barry H.
AU - Boineau, John P.
AU - Cox, James L.
N1 - Funding Information:
This work was supported by NIH grants RO1 HL33722 and RO1 HL32257. We thank George Quick, Michael M. Lischko, and Barbara E. Doerr for their excellent technical assistance, and Dawn Schuessler for the preparation of the manuscript.
PY - 1990/4
Y1 - 1990/4
N2 - This study evaluated potential distribution mapping as a method for localizing the site of origin of ventricular tachycardia (VT). In contrast to conventional activation time maps, potential distribution maps require less editing and thus can be more automated and rapidly processed for interpretation of multiple beats of VT. As a series of potential distribution maps during VT is required for detailed analysis, an on-line computerized system was designed to display potential distribution maps sequentially at 1-ms intervals as a color movie. Potential distribution maps and activation time maps were constructed from 182 epicardial and endocardial unipolar electrodes during 12 episodes of reproducible monomorphic VT in 9 dogs four to six days after experimental myocardial infarction (mean cycle length, 162 ± 21 ms). At the onset of each depolarization during VT, a potential minimum abruptly developed on the surviving epicardium and another on the surviving endocardium of the left ventricle, both immediately adjacent to the subendocardial infarct. These two minima on the initial potential distribution maps corresponded to the sites of earliest epicardial and endocardial activation break-through recorded on the activation time maps. These two minima subsequently expanded or moved into the adjacent area and coincided with the spread of activation fronts on the epicardial and endocardial surfaces. Thus, the rapid display of sequential, computerized potential distribution maps of multiple beats of VT provides a dynamic means of identifying the site of origin of VT, and therefore should facilitate intraoperative mapping.
AB - This study evaluated potential distribution mapping as a method for localizing the site of origin of ventricular tachycardia (VT). In contrast to conventional activation time maps, potential distribution maps require less editing and thus can be more automated and rapidly processed for interpretation of multiple beats of VT. As a series of potential distribution maps during VT is required for detailed analysis, an on-line computerized system was designed to display potential distribution maps sequentially at 1-ms intervals as a color movie. Potential distribution maps and activation time maps were constructed from 182 epicardial and endocardial unipolar electrodes during 12 episodes of reproducible monomorphic VT in 9 dogs four to six days after experimental myocardial infarction (mean cycle length, 162 ± 21 ms). At the onset of each depolarization during VT, a potential minimum abruptly developed on the surviving epicardium and another on the surviving endocardium of the left ventricle, both immediately adjacent to the subendocardial infarct. These two minima on the initial potential distribution maps corresponded to the sites of earliest epicardial and endocardial activation break-through recorded on the activation time maps. These two minima subsequently expanded or moved into the adjacent area and coincided with the spread of activation fronts on the epicardial and endocardial surfaces. Thus, the rapid display of sequential, computerized potential distribution maps of multiple beats of VT provides a dynamic means of identifying the site of origin of VT, and therefore should facilitate intraoperative mapping.
UR - http://www.scopus.com/inward/record.url?scp=0025317244&partnerID=8YFLogxK
U2 - 10.1016/0003-4975(90)90317-Y
DO - 10.1016/0003-4975(90)90317-Y
M3 - Article
C2 - 2322062
AN - SCOPUS:0025317244
SN - 0003-4975
VL - 49
SP - 649
EP - 655
JO - The Annals of thoracic surgery
JF - The Annals of thoracic surgery
IS - 4
ER -