Radiofrequency Catheter Ablation of Coexistent Idiopathic Left Ventricular Tachycardia and Atrioventricular Nodal Reentrant Tachycardia

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• 作者：Ken-Pen Weng ; Chuen-Wang Chiou ; Ming-Ho Kung ; Chu-Chuan Lin ; Kai-Sheng Hsieh
• 关键词：atrioventricular nodal reentrant tachycardia ; double tachycardia ; idiopathic left ventricular tachycardia ; radiofrequency catheter ablation
• 刊名：Journal of the Chinese Medical Association
• 出版年：2005
• 出版时间：October 2005
• 年：2005
• 卷：68
• 期：10
• 页码：479-483
• 全文大小：773 K

文摘

A healthy 15-year-old male patient presented with a 6-month history of recurrent attacks of palpitations. On multiple emergency room visits, a sustained wide QRS complex tachycardia with a right bundle branch block and northwest axis deviation was documented. The tachycardia was not terminated by intravenous adenosine, but was suppressed with intravenous verapamil. There was no evidence of structural heart disease, myocarditis, long QT syndrome, or electrolyte imbalance after a series of standard examinations. Idiopathic left ventricular tachycardia (ILVT) was suspected. Electrophysiologic studies revealed 2 inducible tachycardias, which were shown to represent atrioventricular nodal reentrant tachycardia (AVNRT) and ILVT. Transformation from AVNRT to ILVT occurred spontaneously following atrial pacing. Successful ablation of ILVT and the slow atrioventricular nodal pathway resulted in cure of the double tachycardia.