Syncope in a young man: Role of Purkinje fibres in idiopathic ventricular fibrillation

Autor: Claire A. Martin, PhD, Laurence Nunn, FRCP, Pier D. Lambiase, PhD FHRS
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 17, Iss 4, Pp 113-115 (2017)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/j.ipej.2017.05.006
Popis: A young man suffered cardiac arrests with polymorphic ventricular tachycardia (PVT) and ventricular fibrillation (VF) triggered by ventricular premature contractions (PVCs). The arrhythmia was resistant to anti-arrhythmics, so after ICD implantation he underwent successful ablation of the triggering VE beat, which was pace-mapped to the left posterior hemi-fascicle. We review the evidence for the role of the Purkinje network in the initiation and maintenance of PVT and VF, postulating a channelopathy as a possible underlying cause, and provide recommendations for PVC ablation.
Databáze: Directory of Open Access Journals