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Idiopathic VPC: Distribution of foci and tips of ablation


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


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