Accurate diagnosis of  the underlying aetiology of right ventricular VT: Crucial for  patient outcome

Accurate diagnosis of  the underlying aetiology of right ventricular VT: Crucial for  patient outcome

Using serial ECGs, endo- and epicardial voltage and activation mapping data and imaging (such as LGE-CMR and fat thickness on CT), we develop new tools for diagnosing the underlying aetiology in RV cardiomyopathies (e.g. sarcoidosis, ARVC, athletes) and simultaneously increase our understanding and the treatment of VTs originating from the RV.  

Projects

Legacy: Athletes substrate

This project improves identification of the arrhythmogenic substrate in the RV with different mapping tools (optimal endocardial unipolar voltage cutoff, RV tissue heterogeneity on CT, transmural activation time). This has lead to the idientification and effective treatment of the novel clinical entity of endurance athletes with VT from a limited epicardial RVOT scar.

project athletes substratewecam

Sarcoid vs. ARVC

Key publications

The precordial R' wave: A novel discriminator between cardiac sarcoidosis and arrhythmogenic right ventricular cardiomyopathy in patients presenting with ventricular tachycardia.
Edition: 1547-5271 | Pages: 1539-1547
The harm of delayed diagnosis of arrhythmogenic cardiac sarcoidosis: a case series.
Edition: 1099-5129 | Pages: 1376-1383
RV Tissue Heterogeneity on CT: A Novel Tool to Identify the VT Substrate in ARVC.
Edition: 2405-500X | Pages: 1073-1085
Electroanatomical Voltage Mapping to Distinguish Right-Sided Cardiac Sarcoidosis From Arrhythmogenic Right Ventricular Cardiomyopathy.
Edition: 2405-500X | Pages: 696-707
Isolated Subepicardial Right Ventricular Outflow Tract Scar in Athletes With Ventricular Tachycardia.
Edition: 0735-1097 | Pages: 497-507
Outcome of ventricular tachycardia ablation in patients with nonischemic cardiomyopathy: the impact of noninducibility.
Edition: 1941-3149 | Pages: 513-521
Patients with scar-related right ventricular tachycardia: determinants of long-term outcome.
Edition: 1045-3873 | Pages: 1119-1127
Serial reevaluation for ARVD/C is indicated in patients presenting with left bundle branch block ventricular tachycardia and minor ECG abnormalities.
Edition: 1045-3873 | Pages: 586-593
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