Journal Article

2019 APHRS expert consensus statement on three‐dimensional mapping systems for tachycardia developed in collaboration with HRS, EHRA, and LAHRS

Tung, Roderick, Nogami, Akihiko, Kalarus, Zbigniew, Kim, Young‐Hoon, Han, Seongwook, Lin, Yenn‐Jian, Sticherling, Christian, Guzman, Carlos E., Ernst, Sabine, Saad, Eduardo B., Stiles, Martin K., Kim, Yun Gi, Chen, Shih‐Ann, Tilz, Roland, Sapp, John, Labadet, Carlos, Lo, Li‐Wei

2020

Overview

Abbreviations 3D three‐dimensional AF atrial fibrillation AP accessory pathway ARVC arrhythmogenic right ventricular cardiomyopathy AT atrial tachycardia AVB atrioventricular block AVNRT atrioventricular nodal reentrant tachycardia AVRT atrioventricular reentrant tachycardia BBR bundle branch reentry BrS Brugada Syndrome CFAE complex fractionated atrial electrogram CHD congenital heart disease CPVT catecholaminergic polymorphic ventricular tachycardia CT computed tomography DSM dynamic substrate map EP electrophysiology EPS electrophysiology study ER early repolarization syndrome FTI force‐time integral ICD implantable cardioverter defibrillator ICE intracardiac echocardiography ICM ischemic cardiomyopathy IPAS inherited primary arrhythmias syndrome IVF idiopathic ventricular fibrillation LAVA local abnormal ventricular activity LBBB left bundle branch block LQTS long QT syndrome LV left ventricle MB moderator band MRI magnetic resonance imaging NCM noncontact mapping NICM nonischemic cardiomyopathy OT outflow tract PCCD progressive cardiac conduction disturbance PM papillary muscle PSI pixel signal intensity PV pulmonary vein PVC premature ventricular contraction PVI pulmonary vein isolation RBBB right bundle branch block RF radiofrequency RFCA radiofrequency catheter ablation RV right ventricle SQTS short QT syndrome SVT supraventricular tachycardia TEE transesophageal echocardiography VA ventricular arrhythmia VF ventricular fibrillation VT ventricular tachycardia PREAMBLE This document describes the use of three‐dimensional mapping systems and includes recommendations regarding their application in clinical practice based on scientific evidence. [...]their availability as well as reimbursement practice varies widely across different countries largely depending on the economic situation. The societies involved in the development of this document recognize the existence of these factors and the significant barriers that these may pose in everyday practice and on the decision to use or not use a three‐dimensional mapping system in a given patient. [...]in cases where these useful systems are not available or cannot be used in a wide scale due to financial constraints, electrophysiology procedures should certainly be offered to the patients based on established indications. Good catheter contact, correct interpretation of the colors in the map, appropriate choice of reference electrogram, complete mapping of the correct chamber of interest, and strategies to address catheter tip migration with respiration or change in cardiac rhythm and annotation of complex intracardiac signals are all necessary prerequisites for the success of ablation.

• Publisher: John Wiley & Sons, Inc,John Wiley and Sons Inc,Wiley
• Subject: Ablation / Cardiac arrhythmia / Cardiomyopathy / Catheters / Clinical Review / Electrocardiography / Electrodes / Heart / Localization / Magnetic resonance imaging / Tachycardia