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Right Ventricular Outflow Tract Tachycardia by ECG Finding

MedGen UID:
417105
•Concept ID:
C2347963
•
Disease or Syndrome
Synonyms: Right Ventricular Outflow Tract Tachycardia; Right Ventricular Outflow Tract Tachycardia by EKG Finding

Definition

An electrocardiographic finding of ventricular tachycardia originating in the right ventricular outflow tract. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRight Ventricular Outflow Tract Tachycardia by ECG Finding

Professional guidelines

PubMed

Mechanism, diagnosis, and treatment of outflow tract tachycardia.
Lerman BB
Nat Rev Cardiol 2015 Oct;12(10):597-608. Epub 2015 Aug 18 doi: 10.1038/nrcardio.2015.121. PMID: 26283265
Management of outflow tract ventricular arrhythmias.
Maury P, Rollin A, Mondoly P, Duparc A
Curr Opin Cardiol 2015 Jan;30(1):50-7. doi: 10.1097/HCO.0000000000000122. PMID: 25389648
Ventricular tachycardia in structurally normal hearts: recognition and management.
Nathani P, Shetty S, Lokhandwala Y
J Assoc Physicians India 2007 Apr;55 Suppl:33-8. PMID: 18368865

Recent clinical studies

Etiology

Intracardiac electrogram characteristics of intramural outflow tract ventricular arrhythmias.
Yalin K, Aksu T, Ikitimur B, Onder SE, Soysal AU, Ozturk S, Tokdil KNIO, Yalman H, Mutlu D, Atici A, Okşul M, Baysal E, Bilge AK
J Interv Card Electrophysiol 2023 Apr;66(3):621-627. Epub 2022 Sep 19 doi: 10.1007/s10840-022-01374-y. PMID: 36121541
Catheter ablation to prevent sudden cardiac death.
Kautzner J, Peichl P
Int J Cardiol 2017 Jun 15;237:29-33. Epub 2017 Apr 1 doi: 10.1016/j.ijcard.2017.03.135. PMID: 28433554
Outflow tract ventricular arrhythmias: An update.
Lerman BB
Trends Cardiovasc Med 2015 Aug;25(6):550-8. Epub 2015 Jan 28 doi: 10.1016/j.tcm.2015.01.011. PMID: 25846938
Management of outflow tract ventricular arrhythmias.
Maury P, Rollin A, Mondoly P, Duparc A
Curr Opin Cardiol 2015 Jan;30(1):50-7. doi: 10.1097/HCO.0000000000000122. PMID: 25389648
Portentous pinball.
Fellowes C, Daly C, Babu-Narayan SV, Lyne J, Collinson J
Can J Cardiol 2008 Feb;24(2):e3-5. doi: 10.1016/s0828-282x(08)70574-9. PMID: 18273478Free PMC Article

Diagnosis

Modern mapping and ablation of idiopathic outflow tract ventricular arrhythmias.
Dragasis S, Vlachos K, Frontera A, Mililis P, Saplaouras A, Zygouri A, Zymatoura ME, Kontonika M, Kafkas N, Efremidis M, Letsas KP
Rev Cardiovasc Med 2022 Mar 16;23(3):103. doi: 10.31083/j.rcm2303103. PMID: 35345270
Mechanistic subtypes of focal right ventricular tachycardia.
Lerman BB, Cheung JW, Ip JE, Liu CF, Thomas G, Markowitz SM
J Cardiovasc Electrophysiol 2018 Aug;29(8):1181-1188. Epub 2018 May 9 doi: 10.1111/jce.13505. PMID: 29659078
Arrhythmogenic right ventricular cardiomyopathy, clinical manifestations, and diagnosis.
Haugaa KH, Haland TF, Leren IS, Saberniak J, Edvardsen T
Europace 2016 Jul;18(7):965-72. Epub 2015 Oct 25 doi: 10.1093/europace/euv340. PMID: 26498164
Mechanism, diagnosis, and treatment of outflow tract tachycardia.
Lerman BB
Nat Rev Cardiol 2015 Oct;12(10):597-608. Epub 2015 Aug 18 doi: 10.1038/nrcardio.2015.121. PMID: 26283265
Management of outflow tract ventricular arrhythmias.
Maury P, Rollin A, Mondoly P, Duparc A
Curr Opin Cardiol 2015 Jan;30(1):50-7. doi: 10.1097/HCO.0000000000000122. PMID: 25389648

Therapy

Modern mapping and ablation of idiopathic outflow tract ventricular arrhythmias.
Dragasis S, Vlachos K, Frontera A, Mililis P, Saplaouras A, Zygouri A, Zymatoura ME, Kontonika M, Kafkas N, Efremidis M, Letsas KP
Rev Cardiovasc Med 2022 Mar 16;23(3):103. doi: 10.31083/j.rcm2303103. PMID: 35345270
Mechanistic subtypes of focal right ventricular tachycardia.
Lerman BB, Cheung JW, Ip JE, Liu CF, Thomas G, Markowitz SM
J Cardiovasc Electrophysiol 2018 Aug;29(8):1181-1188. Epub 2018 May 9 doi: 10.1111/jce.13505. PMID: 29659078
Management of outflow tract ventricular arrhythmias.
Maury P, Rollin A, Mondoly P, Duparc A
Curr Opin Cardiol 2015 Jan;30(1):50-7. doi: 10.1097/HCO.0000000000000122. PMID: 25389648
Portentous pinball.
Fellowes C, Daly C, Babu-Narayan SV, Lyne J, Collinson J
Can J Cardiol 2008 Feb;24(2):e3-5. doi: 10.1016/s0828-282x(08)70574-9. PMID: 18273478Free PMC Article
Idiopathic ventricular tachycardia.
Altemose GT, Buxton AE
Annu Rev Med 1999;50:159-77. doi: 10.1146/annurev.med.50.1.159. PMID: 10073270

Prognosis

Deductive Electrocardiographic Analysis of Left Ventricular Summit Arrhythmias.
Hanson MG, Enriquez A
Card Electrophysiol Clin 2023 Mar;15(1):9-14. Epub 2022 Dec 13 doi: 10.1016/j.ccep.2022.04.004. PMID: 36774141
Mechanism, diagnosis, and treatment of outflow tract tachycardia.
Lerman BB
Nat Rev Cardiol 2015 Oct;12(10):597-608. Epub 2015 Aug 18 doi: 10.1038/nrcardio.2015.121. PMID: 26283265
Outflow tract ventricular arrhythmias: An update.
Lerman BB
Trends Cardiovasc Med 2015 Aug;25(6):550-8. Epub 2015 Jan 28 doi: 10.1016/j.tcm.2015.01.011. PMID: 25846938
Management of outflow tract ventricular arrhythmias.
Maury P, Rollin A, Mondoly P, Duparc A
Curr Opin Cardiol 2015 Jan;30(1):50-7. doi: 10.1097/HCO.0000000000000122. PMID: 25389648
Idiopathic ventricular tachycardia.
Altemose GT, Buxton AE
Annu Rev Med 1999;50:159-77. doi: 10.1146/annurev.med.50.1.159. PMID: 10073270

Clinical prediction guides

Deductive Electrocardiographic Analysis of Left Ventricular Summit Arrhythmias.
Hanson MG, Enriquez A
Card Electrophysiol Clin 2023 Mar;15(1):9-14. Epub 2022 Dec 13 doi: 10.1016/j.ccep.2022.04.004. PMID: 36774141
Predictors of Successful Endocardial Ablation of Epicardial Left Ventricular Summit Arrhythmias.
Yamada T
Card Electrophysiol Clin 2023 Mar;15(1):15-24. Epub 2022 Dec 14 doi: 10.1016/j.ccep.2022.04.005. PMID: 36774132
Intracardiac electrogram characteristics of intramural outflow tract ventricular arrhythmias.
Yalin K, Aksu T, Ikitimur B, Onder SE, Soysal AU, Ozturk S, Tokdil KNIO, Yalman H, Mutlu D, Atici A, Okşul M, Baysal E, Bilge AK
J Interv Card Electrophysiol 2023 Apr;66(3):621-627. Epub 2022 Sep 19 doi: 10.1007/s10840-022-01374-y. PMID: 36121541
Electrocardiographic landmarks of idiopathic ventricular arrhythmia origins.
Tzeis S, Asvestas D, Yen Ho S, Vardas P
Heart 2019 Jul;105(14):1109-1116. Epub 2019 May 15 doi: 10.1136/heartjnl-2019-314748. PMID: 31092549
Collapse in the scrum.
Donnelly D, Patrick D, Weir RA
Emerg Med J 2018 Dec;35(12):764-772. Epub 2018 Mar 5 doi: 10.1136/emermed-2017-207434. PMID: 29507049

Recent systematic reviews

Restitution metrics in Brugada syndrome: a systematic review and meta-analysis.
Tse G, Lee S, Gong M, Mililis P, Asvestas D, Bazoukis G, Roever L, Jeevaratnam K, Hothi SS, Li KHC, Liu T, Letsas KP
J Interv Card Electrophysiol 2020 Mar;57(2):319-327. Epub 2019 Dec 14 doi: 10.1007/s10840-019-00675-z. PMID: 31836966
Electrocardiographic features, mapping and ablation of idiopathic outflow tract ventricular arrhythmias.
Lavalle C, Mariani MV, Piro A, Straito M, Severino P, Della Rocca DG, Forleo GB, Romero J, Di Biase L, Fedele F
J Interv Card Electrophysiol 2020 Mar;57(2):207-218. Epub 2019 Oct 24 doi: 10.1007/s10840-019-00617-9. PMID: 31650457

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