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Ahmad Halawa
Ahmad Halawa

Public Documents 1
Catheter Ablation of Ventricular Tachycardia in LMNA Cardiomyopathy: Out of Sight but...
Ahmad Halawa
Paul Zei

Ahmad Halawa

and 5 more

July 12, 2021
Lamin Cardiomyopathy (LC) is associated with refractory ventricular arrhythmias. Catheter ablation success rate is low due to presence of multiple circuits and intramural substrate. We present a LC case presented with electrical storm. During catheter ablation, arrhythmia was easily inducible but activation mapping, including full epicardial and endocardial mapping, failed to demonstrate the full tachycardia cycle length (70% only) suggesting intramural activation. Critical isthmus was not identified even with successful concealed entrainment on both Endo/epicardial surfaces. This case shows that even combined endocardial and epicardial catheter approach can be ineffective in identifying the full arrhythmogenic substrate in LC.

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