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Despite a decrease in voltage amplitude in post-infarction scar areas, greater voltage amplitudes are sometimes observed at the time of local extrasystoles mechanically induced by catheters.
However, no study has investigated whether these electrical changes are associated with mechanical changes in local contractility.
However, the voltage is closely correlated to the local contractile function as evidenced by the use of the NOGA system.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NOGA TM probe | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NOGA TM probe | Device | Each subject will be his own witness since the linear local shortening (LLS) will be measured successively in all patients before, then after stimulation of the scar zone (comparison of LLS measured in sinus rhythm then during stimulation in the scar zone for each patient. Each subject being his own witness and the two recordings being made a few minutes apart, during the same procedure. |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of LLS (linear local shortening) via the NOGATM system in percentage | Study the change in percentage of LLS during stimulation in a post-infarction scar zone identified by voltage mapping of the left ventricle with the NOGA system, compared to LLS in the same zone measured in atrial stimulation | 1month |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of global systolic function: left ventricular ejection fraction | Compare the left ventricular ejection fraction (in percentage) during stimulation in a scar area compared to a normal rhythm | 1month |
| Evolution of the global systolic function: integral time velocity under aortic Translation results Evolution of the global systolic function: integral time velocity under aortic |
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Inclusion Criteria:
- Patients who should undergo ventricular tachycardia (VT) ablation after a myocardial infarction according to current recommendations, namely: patients with ischemic heart disease (ICD) and with episodes of sustained ventricular tachycardia responsible for internal electric shocks by the implantable automatic defibrillator (ICD) (grade IB recommendation)
OR
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anne ROLLIN, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ROLLIN Anne | Toulouse | CHU de Toulouse | 31059 | France |
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| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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|
Compare the integral time velocity under aortic (in centimeter) during stimulation in a scar area compared to a normal rhythm |
| 1month |
| Evolution of the global systolic function: strain longitudinal global | Compare the strain longitudinal global(in percentage) during stimulation in a scar area compared to a normal rhythm | 1month |
| D007238 |
| Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |