Idiopathic Ventricular
Premature Contraction (VPC) is currently more routinely referred for
electrophysiology evaluation. Usually it carries a good prognosis but, when
symptomatic or suspected to produce ventricular dysfunction, will require treatment.
RF ablation has some advantages over drug treatment. Classically the outflow
tract (right or left), with the typical inferior axis with left (eventually
right) bundle brunch block like ECG morphology, is considered the most frequent
site of origin for idiopathic VPC, but with the widespread of EP procedures and
advancement of technology making possible to map difficult structures, it is possible
to see a growing and changing population referred for idiopathic VPC ablation,
displaying that, despite less frequent, almost any region of the heart may be
source of ectopy. A well-planned procedure, with the presumed region of origin
settled and employing the current technology and knowledge (tips), will have a
high chance of cure.
Credits: Tasso J Lobo; Enrique I Pachón M; Tomas G Santillana P; Carlos T C Pachón; Juan C Pachón M; Remy N Albornoz V; Juan C Zerpa A; Felipe A Ortencio