Evidence map›Paper›PMID 40419447›Full record

ArticleThe Journal of international medical research2025

Electrocardiographic features and ablation outcomes of near-Hisian idiopathic ventricular arrhythmias: Insights from a single-center study in Vietnam.

Ba Van Vu, Kien Trung Hoang, Thinh Duc Do, Hung Manh Nguyen, Linh Thi Hai Ngo, Long Hoang Vo, Dung Tien Le, Nguyen Thao Phan, Huu Cong Nguyen

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Article in The Journal of international medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ba Van VuCardiovascular Center, E Hospital, Vietnam.ORCID 0000-0002-2230-6620
Kien Trung HoangCardiovascular Center, E Hospital, Vietnam.
Thinh Duc DoCardiovascular Center, E Hospital, Vietnam.
Hung Manh NguyenCardiovascular Center, E Hospital, Vietnam.
Linh Thi Hai NgoGreater Brisbane Clinical School, Faculty of Medicine, The University of Queensland, Australia.
Long Hoang VoCardiovascular Center, E Hospital, Vietnam.
Dung Tien LeCardiovascular Center, E Hospital, Vietnam.
Nguyen Thao PhanCardiovascular Center, E Hospital, Vietnam.
Huu Cong NguyenCardiovascular Center, E Hospital, Vietnam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveTo compare the clinical characteristics, electrocardiographic characteristics, and outcomes of radiofrequency catheter ablation in patients with idiopathic right ventricular outflow tract ventricular arrhythmias originating near the Hisian bundle region versus other right ventricular outflow tract regions.MethodsA single-center study analyzed 126 patients undergoing radiofrequency catheter ablation for right ventricular outflow tract ventricular arrhythmias from May 2020 to October 2022. Patients were classified into the near-Hisian group (n = 10) and the right ventricular outflow tract group (n = 116) based on the arrhythmia origin. Clinical, electrocardiographic, and procedural characteristics as well as ablation outcomes were compared.ResultsThe near-Hisian group had narrower QRS duration (132.3 ± 24.1 vs. 146.1 ± 28.3 ms), 100% positive QRS in lead I, smaller R-wave ratio in leads III/II (0.65 ± 0.20 vs. 0.97 ± 0.31), smaller Q-wave ratio in leads aVL/aVR (0.31 ± 0.29 vs. 1.03 ± 0.37), and larger R/S ratio in lead V2 (18.8 ± 10.9 vs. 12.0 ± 6.7) (all p < 0.05). Procedural metrics, acute success (90%), and long-term success (80%) were comparable between the two groups, with no major complications reported.ConclusionsRight ventricular outflow tract ventricular arrhythmias near the Hisian bundle region have distinct electrocardiographic features. Radiofrequency catheter ablation is safe and effective, emphasizing the need for precise electrocardiogram interpretation and meticulous procedural planning.

Indexed as

Arrhythmias, CardiacBundle of HisCatheter AblationElectrocardiographyHeart VentriclesTachycardia, VentricularAdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeVietnamnear the Hisian bundleradiofrequency catheter ablationright ventricular outflow tractVentricular arrhythmias

Identifiers

PMID40419447
PMCPMC12106982

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.