Related Experiment Video

Updated: Sep 18, 2025

Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
06:57

Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction

Published on: January 31, 2019

14.9K

Basal Crux Ventricular Tachycardia in Ischemic Heart Disease

Devendra S Bisht1, Kamal Kishor1

  • 1Ojas Hospital, Panchkula, Haryana, India.

Indian Pacing and Electrophysiology Journal
|June 22, 2025
PubMed

Insights

Basal crux ventricular tachycardia (VT) can occur in patients with ischemic heart disease (IHD). Successful ablation in the middle cardiac vein (MCV) may offer a cure, even with arrhythmia-induced cardiomyopathy.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Cardiac Imaging

Background:

  • Basal crux ventricular tachycardia (VT) is often misdiagnosed as idiopathic.
  • Its association with ischemic heart disease (IHD) is frequently underestimated.

Observation:

  • Two patients with myocardial infarction history presented with basal crux VT.
  • Both patients showed recovery of left ventricular ejection fraction (LVEF) post-ablation.

Findings:

  • Basal crux VT can manifest in patients with IHD.
  • Arrhythmia-induced cardiomyopathy may be reversible.

Implications:

  • This challenges the idiopathic nature of basal crux VT.
  • Proximal middle cardiac vein (MCV) ablation is a potential curative strategy.
  • Further research is needed to clarify the role of IHD in arrhythmogenesis.
Abstract

Keywords:
Basal cruxIschemic heart diseaseVentricular tachycardia

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