Finding the right pathway is the key to success
| Autor: | Adam J. Graham, Jonathan M. Behar, Anthony W.C. Chow, Simon Sporton, Pier D. Lambiase, M Dhinoja |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Tachycardia
medicine.medical_specialty Noninvasive imaging medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Ablation Ventricular tachycardia Right ventricular cardiomyopathy 03 medical and health sciences 0302 clinical medicine Internal medicine medicine ARVC Ventricular outflow tract Effective treatment Epicardial cardiovascular diseases 030212 general & internal medicine business.industry Left bundle branch block medicine.disease Isthmus cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | HeartRhythm Case Reports |
| ISSN: | 2214-0271 |
| Popis: | Introduction We present a case involving an initially unsuccessful ablation attempt of a right ventricular outflow tract (RVOT) ventricular tachycardia (VT) and the subsequent management that provided a definitive diagnosis and effective treatment. VT with left bundle branch block morphology and an inferior axis is often caused by focal tachycardia arising from the RVOT. The differential for this arrhythmia includes a macroreentrant VT. This can be due to arrhythmogenic right ventricular cardiomyopathy (ARVC),1 which is diagnosed using a combination of clinical cues and electrical and noninvasive imaging to meet the Task Force Criteria.2 This case demonstrates the difficulties with diagnosis in the early subclinical phase of ARVC and illustrates the pathophysiology of reentrant VT. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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