Document Detail

Repetitive polymorphic ventricular tachycardia initiated by phase 4 block in the His-Purkinje system.
MedLine Citation:
PMID:  20096856     Owner:  NLM     Status:  MEDLINE    
We report a case of a patient who developed repetitive episodes of polymorphic ventricular tachycardia with a stereotypical pattern of initiation. A premature atrial complex would result in a brief pause followed by left bundle branch block aberrancy. Ventricular bigeminy would ensue followed by episodes of polymorphic ventricular tachycardia, some requiring cardioversion. We postulate that delay within the His-Purkinje system initiated by phase 4 block was proarrhythmic in this patient.
Jose' Dizon; Daniel Wang; Alan Vainrib
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-22
Journal Detail:
Title:  Journal of electrocardiology     Volume:  43     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-08-23     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  415-7     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Division of Cardiology, Department of Medicine, Columbia University Medical Center Columbia University, New York, NY 10604, USA.
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MeSH Terms
Bundle of His / physiopathology*
Bundle-Branch Block / physiopathology*
Purkinje Fibers / physiopathology*
Tachycardia, Ventricular / physiopathology*

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