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Herein, we report a 47‐year‐old woman with ischemic cardiomyopathy who underwent ablation therapy due to an electrical storm without any triggers. The voltage mapping in sinus rhythm with the Rhythmia system and Orion catheter displayed several LAVAs in and around the anteroapical scar area. Although the patient did not tolerate the induced clinical ventricular tachycardia, which was reproductively induced, 35‐second‐mapping in the scar zone with the Orion catheter demonstrated the VT circuit with the critical isthmus. This report shows the possibility of the new ultra‐high density mapping system in a specific ischemic VT patient.

The electrical circuit of a hemodynamically unstable and recurrent ventricular tachycardia diagnosed in 35 s with the Rhythmia mapping system