Challenging wide QRS tachycardia diagnosis: One trigger two mechanisms

Autor: Oğuzhan Ekrem Turan, Barış Akdemir, Reşit Yiğit Yilancioğlu, Emin Evren Özcan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 24, Iss 4, Pp 200-203 (2024)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/j.ipej.2024.04.008
Popis: The coexistence of different types of wide QRS complex tachycardias induced by the same trigger has rarely been observed. The electrical instability and incessant nature of tachycardias can cause tachycardiomyopathy and will not allow accurate diagnosis during an electrophysiological study (EPS). In case of an electrical storm, elimination of the trigger may be the first approach to provide patient stability. We report a successfully managed case of repetitive initiation of pleomorphic ventricular tachycardia and Mahaim-type antidromic atrioventricular reentrant tachycardia, induced by a premature ventricular complex in the right ventricular outflow tract.
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