47. Is Resetting and Entrainment Mapping Still Useful with New Technologies?

  1. Mohammad Shenasa MD2,
  2. Gerhard Hindricks MD3,
  3. Martin Borggrefe MD4,
  4. Günter Breithardt MD5 and
  5. Mark E. Josephson MD6
  1. David J. Callans

Published Online: 18 DEC 2012

DOI: 10.1002/9781118481585.ch47

Cardiac Mapping, Fourth Edition

Cardiac Mapping, Fourth Edition

How to Cite

Callans, D. J. (2013) Is Resetting and Entrainment Mapping Still Useful with New Technologies?, in Cardiac Mapping, Fourth Edition (eds M. Shenasa, G. Hindricks, M. Borggrefe, G. Breithardt and M. E. Josephson), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118481585.ch47

Editor Information

  1. 2

    Attending Physician, Department of Cardiovascular Services, O'Connor Hospital, Heart & Rhythm Medical Group, San Jose, California, USA

  2. 3

    Professor of Medicine (Cardiology), University Leipzig, Heart Center, Director, Department of Electrophysiology, Leipzig, Germany

  3. 4

    Professor of Medicine (Cardiology), Head, Department of Cardiology, Angiology and Pneumology, University Medical Center, Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany

  4. 5

    Professor Emeritus of Medicine and Cardiology, Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany

  5. 6

    Chief, Cardiovascular Medicine Division, Director, Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Deaconess Medical Center, Herman C. Dana Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. University of Pennsylvania, Philadelphia, PA, USA

Publication History

  1. Published Online: 18 DEC 2012
  2. Published Print: 10 JAN 2013

ISBN Information

Print ISBN: 9780470670460

Online ISBN: 9781118481585

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Keywords:

  • ventricular tachycardia;
  • reentry;
  • resetting;
  • entrainment;
  • mapping

Summary

Resetting and entrainment are pacing techniques that were essential in determining the reentrant nature of ventricular tachycardia (VT) complicating healed infarction and most other forms of structural heart disease. In addition, entrainment mapping is a powerful strategy for mapping well-tolerated monomorphic VT. However, given the incredible power of three-dimensional mapping systems and the rise of substrate based VT ablation, questions arise about the relevance of these classical electrophysiologic techniques. This chapter will discuss the continued importance of these techniques, highlighting in particular their use in clarifying VT mechanism and in verifying the data obtained from activation mapping.