Left Idiopathic Ventricular Tachycardia Amenable to Radiofrequency Ablation

Authors

  • Antonis S Manolis Evagelismos General Hospital, Athens
  • Sokratis Pastromas Henry Dunant Hospital, Athens

DOI:

https://doi.org/10.2015/hc.v10i2.720

Keywords:

wide complex tachycardia, ventricular tachycardia, left idiopathic ventricular tachycardia, catheter ablation

Abstract

An 18-year-old gentleman with a 5-year-long history of palpitations was referred for radiofrequency ablation of a wide-QRS complex tachycardia. He admitted having 2-3 tachycardia episodes per year, which had recently increased in frequency despite therapy with a beta blocker, recently combined with the antiarrhythmic medication flecainide (100 mg bid). The morphology of the tachycardia on the 12-lead electrocardiogram indicated a right bundle branch block with a left axis deviation at a cycle length of 290 ms (207 bpm) (Fig. 1A). Cardiac work-up revealed a normal heart anatomy by echocardiography, while a treadmill test was normal with no provokable arrhythmia... (excerpt)

Author Biography

Antonis S Manolis, Evagelismos General Hospital, Athens

Specialty: Cardiology

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Published

2015-05-25

Issue

Vol. 10 No. 2 (2015)

Section

Images in Medicine

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