AimThe arrhythmogenic relationship between the presence of J-waves during sinus rhythm and idiopathic ventricular tachycardia (VT) or pre-mature ventricular contractions (PVCs) originating from the right ventricular outflow tract (RVOT) has not been reported. The aim of this study was to investigate the prevalence and characteristics of idiopathic RVOTVT/PVCs associated with J-waves. Methods and resultsThe study enrolled 138 consecutive idiopathic RVOTVT/PVC patients undergoing radiofrequency catheter ablation (RFCA) and 276 age-and gender-matched control subjects. The prevalence of J-waves was assessed in each cohort, and the clinical and electrophysiological data were compared between the RVOTVT/PVC patients with J-waves (J-RVOTVT/PVC group) and those without (non-J-RVOTVT/PVC group). J-waves were more common among patients with idiopathic RVOTVT/PVCs than among the matched control subjects (40 vs. 16 P < 0.001). The J-RVOTVT/PVC group had a higher incidence of sustained VT (25 vs. 5, P< 0.01), shorter VT cycle length (302 ± 57 vs. 351 ± 58 ms, P< 0.001), and more episodes of syncope (25 vs. 2, P< 0.001) than did the non-J-RVOTVT/PVC group. However, no patients demonstrated any ventricular fibrillation (VF) or cardiac sudden death in either group. ConclusionsThere was a high prevalence of J-waves in the idiopathic RVOTVT/PVC patients referred for RFCA. Although patients with idiopathic RVOT arrhythmias associated with J-waves might have a more enhanced arrhythmogenicity than those without J-waves, the significance of those J-waves was limited in terms of the prognosis and VF.
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