scholarly journals IDIOPATHIC LEFT VENTRICULAR TACHYCARDIA: A CASE REPORT

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Dyah Ayu Shinta Ratnasari ◽  
Ima Ansari Kusuma
Keyword(s):  
Ventricular Tachycardia ◽  
Case Report ◽  
Radiofrequency Ablation ◽  
Left Ventricular ◽  
Axis Deviation ◽  
Emergency Physicians ◽  
Qrs Complex ◽  
Bundle Branch Block ◽  
Idiopathic Left Ventricular Tachycardia ◽  
Ventricular Tachycardias

ABSTRACTAccurate diagnosis of wide QRS complex tachycardia is difficult in emergent situations. Idiopathic Left Ventricular Tachycardia (ILVT) is a ventricular tachycardia characterized by right bundle branch block (RBBB) and left axis deviation (LAD) on electrocardiogram, its accounts for 10-15% of all left ventricular tachycardias. We present case of ILVT in a young 32-year-old gentleman presenting with unstable hemodynamic and a wide-complex right bundle, left axis deviation on electrocardiogram. Electrical cardioversion was given and the ILVT was terminated. Verapamil 80 mg twice daily was given, and he planned to radiofrequency ablation. It is important for emergency physicians to recognize the electrocardiographic features of ILVT and to manage these patients appropriately.

scholarly journals Is narrow qrs complex tachyarrythmia always from supraventricular?

2019 ◽  
Vol 43 (1) ◽  
pp. 38
Author(s):  
Tiya Setiadi ◽  
Hauda El Rasyid
Keyword(s):  
Ventricular Tachycardia ◽  
Young Patients ◽  
Structural Heart Disease ◽  
Left Ventricular ◽  
Qrs Complex ◽  
Bundle Branch Block ◽  
Idiopathic Left Ventricular Tachycardia ◽  
Narrow Qrs ◽  
First Case ◽  
Narrow Qrs Complex

Idiopathic left ventricular tachycardia (previously known as fascicular VT) is characterized by right bundle branch block (RBBB) left axis ventricular tachycardia (VT) with a relatively narrow QRS (120–140 ms) in young patients and sensitive to verapamil. Objective: To remind that not all tachyarrhythmias with relatively narrow QRS are derived from supraventricular. Cases: First case of 23 years old man with chief complain palpitation and presyncope with narrow QRS ventricular tachycardia electrocardiography (ECG). Second case of 16 years old man with chief complain palpitation with narrow QRS ventricular tachycardia ECG, both of them are getting better after administration of diltiazem and verapamil. Conclusions: Idiopathic left ventricular tachycardia is associated with presyncope, palpitation and was successfully terminated with verapamil. Medical management is variable in its outcomes and given the age of the population affected. Narrow QRS complex tachycardia not always from supraventricular, we should think about ventricular tachycardia especially ILVT if there is no structural heart disease.

scholarly journals The reentrant circuit in idiopathic left ventricular tachycardia: a case report.

1998 ◽  
Vol 18 (6) ◽  
pp. 886-891
Author(s):  
Masahiro Ito ◽  
Takashi Washizuka ◽  
Masayuki Yamaura ◽  
Hiroshi Furushima ◽  
Kouji Taneda ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Case Report ◽  
Left Ventricular ◽  
Idiopathic Left Ventricular Tachycardia ◽  
Reentrant Circuit

scholarly journals Idiopathic Left Ventricular Tachycardia Originating in the Left Posterior Fascicle

2020 ◽  
Vol 8 (4) ◽  
pp. 249-254
Author(s):  
Hongwu Chen ◽  
Kit Chan ◽  
Sunny S Po ◽  
Minglong Chen
Keyword(s):  
Ventricular Tachycardia ◽  
Left Ventricular ◽  
Purkinje Fibres ◽  
Idiopathic Left Ventricular Tachycardia ◽  
Purkinje System ◽  
Left Posterior ◽  
The Difference ◽  
Ventricular Tachycardias ◽  
Left Posterior Fascicle ◽  
Reentrant Circuit

Ventricular tachycardias originating from the Purkinje system are the most common type of idiopathic left ventricular tachycardia. The majority if not all of the reentrant circuit involved in this type of tachycardia is formed by the Purkinje fibres of the left bundle branch, particularly the left posterior fascicle. In general, slowly conducting Purkinje fibres (P1) form the antegrade limb, and normally conducting Purkinje fibres (P2) form the retrograde limb of the reentrant circuit of the ventricular tachycardia originating from the left posterior fascicle. Elimination of the critical Purkinje elements in the reentrant circuit is the route to successful ablation. While the reentrant circuit identified by activation mapping provides the roadmap to ablation targets, comparing the difference in the His-ventricular interval during sinus rhythm and tachycardia also helps to identify the critical site in the reentrant circuit.

Radiofrequency Ablation of a Nonsustained Ventricular Tachycardia Arising from the Left Coronary Cusp of a Bicuspid Aortic Valve: A Case Report

Cardiology ◽  
2016 ◽  
Vol 135 (4) ◽  
pp. 236-239
Author(s):  
Konstantinos E. Iliodromitis ◽  
Sokratis Pastromas ◽  
Stylianos Tzeis ◽  
George Andrikopoulos
Keyword(s):  
Ventricular Tachycardia ◽  
Case Report ◽  
Radiofrequency Ablation ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Nonsustained Ventricular Tachycardia ◽  
Left Ventricular Outflow ◽  
Coronary Cusp

Radiofrequency ablation is the therapy of choice for the suppression of medically intractable symptomatic ventricular arrhythmias. Here we present the case report of a 50-year-old woman with bicuspid aortic valve (BAV) and symptomatic nonsustained ventricular tachycardia arising from the left ventricular outflow tract (LVOT). The origin of the ventricular arrhythmia was confirmed in the left coronary cusp (LCC) of the BAV. The patient underwent a successful radiofrequency ablation. LCC of a tricuspid aortic valve is a common origin of idiopathic LVOT tachycardia; however, little is known for these types of arrhythmias when located in the cusps of a BAV.

Radiofrequency Ablation of Idiopathic Left Ventricular Tachycardia with Changing EGG Morphology

1998 ◽  
Vol 21 (8) ◽  
pp. 1668-1671 ◽  
Author(s):  
YI-JEN CHEN ◽  
SHIH-ANN CHEN ◽  
CHING-TAI TAI ◽  
CHERN-EN CHIANG ◽  
SHIH-HUANG LEE ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Radiofrequency Ablation ◽  
Left Ventricular ◽  
Idiopathic Left Ventricular Tachycardia ◽  
Egg Morphology
Sign in / Sign up

Export Citation Format

Share Document