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J Electrocardiol. 2011 Nov-Dec;44(6):792-5. doi: 10.1016/j.jelectrocard.2011.01.007. Epub 2011 Mar 21.

Idiopathic epicardial ventricular tachycardia with origin remote from vascular structures.

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  • 1Department of Medicine, Cardiac Electrophysiology, San Francisco VAMC, San Francisco, CA 94121, USA.


We report a case of a patient with idiopathic left ventricular tachycardia (VT) successfully ablated from the epicardial aspect of the left ventricle, after a previous failed endocardial ablation. The VT appeared to be catecholamine sensitive. An excellent epicardial pacemap was found in the midlateral region of the left ventricle, remote from vascular structures. Following ablation, the patient discontinued antiarrhythmic drug use and has not experienced any recurrence of VT for more than 2 1/2 years.

Copyright © 2011 Elsevier Inc. All rights reserved.

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