Document Detail


Bundle brunch reentrant ventricular tachycardia with two distinct conduction patterns in a patient with complete right bundle branch block.
MedLine Citation:
PMID:  17201855     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a rare case of bundle branch reentrant ventricular tachycardia [BBRVT]. A 67-year-old female was admitted for management of wide QRS tachycardia (right bundle branch block [RBBB] and a southwest axis). The mapping procedure revealed the tachycardia circuit consisted of the left anterior fascicle (LAF) as an antegrade, and the right bundle as a retrograde pathway. She presented RBBB during sinus rhythm. LAF ablation changed the tachycardia configuration to a northwest axis and prolonged the cycle length. Left posterior fascicle ablation terminated the tachycardia, and complete atrioventricular block occurred, which showed the unidirectional conduction over the right bundle.
Authors:
Yoshihisa Enjoji; Masahiro Mizobuchi; Kensaku Shibata; Tsuyoshi Ono; Atsushi Funatsu; Daisuke Kanbayashi; Tomoko Kobayashi; Shigeru Nakamura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  29     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-01-04     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1438-41     Citation Subset:  IM    
Affiliation:
Cardiovascular Center, Kyoto Katsura Hospital, Kyoto, Japan. enmomo@nifty.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Body Surface Potential Mapping / methods*
Bundle-Branch Block / complications*,  diagnosis*
Female
Heart Conduction System*
Humans
Rare Diseases / diagnosis
Tachycardia, Atrioventricular Nodal Reentry / complications*,  diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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