Abstract
The diagnosis, definition, localization, and management of postinfarct ventricular tachycardia (VT) in the patient with coronary artery disease depends critically on the surface 12-lead ECG. A systematic analysis of both the sinus rhythm and tachycardia ECGs provides much information that is critical for further decision making. The 12-lead ECG is used to exclude the other differential diagnostic possibilities, outline the substrate for postinfarct VT, define the likely region of VT exit from the scar border, as well as allow for detailed intracardiac analysis using entrainment and pace mapping during catheter ablation procedures.
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