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Cover Page

The handle http://hdl.handle.net/1887/37413 holds various files of this Leiden University dissertation

Author: Piers, S.R.D.

Title: Understanding ventricular tachycardia : towards individualized substrate-based therapy

Issue Date: 2016-01-28

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S.R.D. PIERS

Understanding

Ventricular Tachycardia:

Towards Individualized Substrate-based

Therapy

Understanding Ventricular Tachycardia:Towards Individualized Substrate-based TherapyS.R.D. PIERS

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Understanding Ventricular Tachycardia:

Towards Individualized Substrate-based Therapy

S.R.D. Piers

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Understanding Ventricular Tachycardia:

Towards Individualized Substrate-based Therapy S.R.D. Piers

Thesis Leiden University, Faculty of Medicine, with summary in Dutch

Proefschrift Universiteit Leiden, faculteit Geneeskunde, met een samenvatting in het Nederlands

Copyright © S.R.D. Piers 2015

All right reserved. No parts of this thesis may be reproduced, stored in a retrieval sys- tem of any nature or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission of the author, or when appropriate, the publishers of the papers.

ISBN: 978-94-6169-791-2

Lay-out and printed by: Optima Grafische Communicatie, Rotterdam, the Netherlands.

The printing of this thesis was financially supported by St. Jude Medical, Biotronik, Bayer HealthCare, Sanofi Aventis, Chipsoft, Medis Medical Imaging and Toshiba Medical Systems.

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Understanding Ventricular Tachycardia:

Towards Individualized Substrate-based Therapy

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties te verdedigen op donderdag 28 januari 2016

klokke 16:15 uur door

Sebastiaan Roderick Daniël Piers geboren te Utrecht

in 1986

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Promotores:

Prof. dr. K. Zeppenfeld Prof. dr. M.J. Schalij

Promotiecommissie:

Prof. dr. J.M.T. de Bakker (Universiteit van Amsterdam) Prof. dr. N.A. Blom

Dr. A. Meijer (Catharina Ziekenhuis, Eindhoven) Prof. dr. L. Mont (Hospital Clinic, Barcelona) Dr. D.A. Pijnappels

Dr. Q. Tao

Het verschijnen van dit proefschrift werd mede mogelijk gemaakt door de steun van de Nederlandse Hartstichting en de Stichting Wetenschap en Onderzoek Interne Ge- neeskunde Onze Lieve Vrouwe Gasthuis.

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ConTenTS

Chapter 1 General introduction and outline of thesis 9

Part I Imaging-guided VT ablation

Chapter 2 Imaging-guided ventricular tachycardia ablation Piers SRD, Zeppenfeld K

Arrhythmia & Electrophysiology Review 2013;2(2):128-34

27

Chapter 3 epicardial substrate mapping for ventricular tachycardia ablation in patients with non-ischemic cardiomyopathy:

a new algorithm to differentiate between scar and viable myocardium developed by simultaneous integration of computed tomography and contrast-enhanced magnetic resonance imaging

Piers SRD, van Huls van Taxis CF, Tao Q, van der Geest RJ, Askar SF, Siebelink HM, Schalij MJ, Zeppenfeld K

European Heart Journal 2013;34(8):586-96

49

Chapter 4 Contrast-enhanced MRI-derived scar patterns and associated ventricular tachycardias in nonischemic cardiomyopathy:

implications for the ablation strategy

Piers SRD, Tao Q, van Huls van Taxis CF, Schalij MJ, van der Geest RJ, Zeppenfeld K Circulation: Arrhythmia & Electrophysiology 2013;6(5):875-83

71

Chapter 5 CMR-based identification of critical isthmus sites of ischemic and nonischemic ventricular tachycardia

Piers SRD, Tao Q, de Riva Silva M, Siebelink HM, Schalij MJ, van der Geest RJ, Zeppenfeld K

JACC: Cardiovascular Imaging 2014;7(8):774-84

91

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Part II From Substrate and VT Features to Therapy and Outcome

Chapter 6 endocardial or epicardial ventricular tachycardia in nonischemic cardiomyopathy:

The role of 12-lead eCG criteria in clinical practice Piers SRD, de Riva Silva M, Kapel GF, Trines SA, Schalij MJ, Zeppenfeld K Heart Rhythm 2014;11(6):1031-9

115

Chapter 7 Influence of steroid therapy on the incidence of pericarditis and atrial fibrillation after percutaneous epicardial mapping and ablation for ventricular tachycardia

Piers SRD, Dyrda K, van Huls van Taxis CF, Schalij MJ, Zeppenfeld K Circulation: Arrhythmia & Electrophysiology 2014;7(4):671-6

135

Chapter 8 outcomes of ventricular tachycardia ablation in patients with nonischemic cardiomyopathy: the impact of noninducibility Piers SRD, Leong DP, van Taxis CF, Tayyebi M, Trines SA, Pijnappels DA, Delgado V, Schalij MJ, Zeppenfeld K

Circulation: Arrhythmia & Electrophysiology 2013;6(3):513-21

149

Chapter 9 early reperfusion therapy affects inducibility, cycle length and occurrence of ventricular tachycardia late after myocardial infarction

Piers SRD, Wijnmaalen AP, Borleffs CJ, van Huls van Taxis CF, Thijssen J, van Rees JB, Cannegieter SC, Bax JJ, Schalij MJ, Zeppenfeld K

Circulation: Arrhythmia & Electrophysiology 2011;4(2):195-201

171

Chapter 10 Myocardial scar predicts monomorphic VT but not polymorphic VT or VF in non-ischemic dilated cardiomyopathy

Piers SRD, Everaerts K, van der Geest RJ, Hazebroek MR, Siebelink HM, Pison LAFG, Schalij MJ, Bekkers SCAM, Heymans S, Zeppenfeld K

Heart Rhythm 2015;12(10):2106-14

189

Chapter 11 Critical QRS prolongation after premature stimulation is associated with polymorphic ventricular tachycardia in nonischemic cardiomyopathy: results from the Leiden nonischemic Cardiomyopathy Study

Piers SRD, Askar SFA, Venlet J, Kapel GFL, de Riva Silva M, Jongbloed JJDH, van Tintelen JP, Schalij MJ, Pijnappels DA, Zeppenfeld K

Accepted for publication in Heart Rhythm

213

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Chapter 12 Summary, conclusions and future perspectives:

Towards more effective, individualized substrate-based therapies for ventricular arrhythmias.

237

nederlandse samenvatting 249

Dankwoord 255

List of publications 257

Curriculum vitae 263

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