Verapamil-sensitive idiopathic left ventricular tachycardia and concomitant atrioventricular nodal reentrant tachycardia
Autor: | Andreas S. Triantafyllis, Pavlos Tsinivizov, Leonidas E. Poulimenos, Athanasios J. Manolis, Dimitrios Varvarousis, Manolis S. Kallistratos, Georgios Andrikopoulos, Kali Polytarchou, Alexandros Sikiotis |
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Rok vydání: | 2021 |
Předmět: |
Tachycardia
Male medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Ventricular tachycardia 03 medical and health sciences Electrocardiography 0302 clinical medicine Internal medicine medicine Humans Tachycardia Atrioventricular Nodal Reentry cardiovascular diseases 030212 general & internal medicine Supraventricular arrhythmia business.industry Ablation medicine.disease Catheter Verapamil Concomitant cardiovascular system Cardiology Catheter Ablation Tachycardia Ventricular medicine.symptom Cardiology and Cardiovascular Medicine business AV nodal reentrant tachycardia medicine.drug |
Zdroj: | Journal of electrocardiology. 67 |
ISSN: | 1532-8430 |
Popis: | We describe the case of a young patient with runs of repetitive monomorphic left ventricular tachycardia. He was diagnosed with verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) and underwent an electrophysiological study, in which dual atrioventricular (AV) nodal physiology was evident, with an AV nodal reentrant tachycardia (AVNRT) being easily and reproducibly induced. Both the AVNRT and the ILVT were successfully ablated using high-density electroanatomical mapping and an open-irrigation catheter. In conclusion, verapamil-sensitive ILVT might coexist with AVNRT. In case of invasive therapy, a thorough electrophysiological evaluation is mandatory to exclude or treat other co-existing reentrant supraventricular arrhythmias. |
Databáze: | OpenAIRE |
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