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How to unmask septal local abnormal ventricular activities with the new LUMIPOINT(TM) software

We report the use of the new automated tool Lumipoint(TM) for the detection of LAVA (local abnormal ventricular activities) when they are buried within the far‐field ventricular signal, especially in regions of preserved myocardial thickness, such as the left ventricular (LV) septum. The LV substrat...

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Detalles Bibliográficos
Autores principales: Solimene, Francesco, Maddaluno, Francesco, Malacrida, Maurizio, Stabile, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279972/
https://www.ncbi.nlm.nih.gov/pubmed/32528583
http://dx.doi.org/10.1002/joa3.12344
Descripción
Sumario:We report the use of the new automated tool Lumipoint(TM) for the detection of LAVA (local abnormal ventricular activities) when they are buried within the far‐field ventricular signal, especially in regions of preserved myocardial thickness, such as the left ventricular (LV) septum. The LV substrate and the tachycardia circuit during ventricular tachycardias of a 60‐year‐old man with dilated cardiomyopathy were mapped using an ultra‐high‐density mapping system and then the Lumipoint(TM), analyzing the EGMs of interest, identified the LAVA in the inferoseptal region. This algorithm may be helpful to quickly target the septal substrate avoiding misleading interpretation.