Ischemic Ventricular Tachycardia Presenting as a Narrow Complex Tachycardia

Autor: Stephen P. Page, MD, MRCP, Troy Watts, Wee Tiong Yeo, MD, Mehul Dhinoja, FRCP
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 14, Iss 4, Pp 203-210 (2014)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/S0972-6292(16)30777-X
Popis: This report describes a patient presenting with a narrow complex tachycardia in the context of prior myocardial infarction and impaired ventricular function. Electrophysiological studies confirmed ventricular tachycardia and activation and entrainment mapping demonstrated a critical isthmus within an area of scar involving the His-Purkinje system accounting for the narrow QRS morphology. This very rare case shares some similarities with upper septal ventricular tachycardia seen in patients with structurally normal hearts, but to our knowledge has not been seen previously in patients with ischemic heart disease.
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