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| ==Localisation of the origin of a ventricular tachycardia== | | ==Localisation of the origin of a ventricular tachycardia== |
| The localisation of the origin (or exit site) of a ventricular tachycardia can be helpful in understanding the cause of the VT and is very helpful when planning an ablation procedure to treat a ventricular tachycardia.
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| The steps to finding the exit site are: | | The localisation of the origin (or exit site) of a ventricular tachycardia can be helpful in understanding the cause of the VT and is very helpful when planning an ablation procedure to treat a ventricular tachycardia. [[Localisation of the origin of a ventricular tachycardia]] is discussed in a seperate chapter. |
| # What is the bundle branch block (BBB) configuration?
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| # What is the inferior lead QRS complex polarity?
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| # What is the lead I QRS complex polarity?
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| # What is the lead aVL QRS complex polarity?
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| # What is the lead aVR QRS complex polarity?
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| # Where is the R-wave transition point?
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| Using this approach and the algorithm on the right <cite>segal</cite> the exit site can be estimated with reasonable accuracy (PPV around 70%).
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| ==Examples== | | ==Examples== |