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Vol 16, No 3 (2021)
Case report
Published online: 2021-06-30

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Arrhythmia from hell. Idiopathic left fascicular ventricular tachycardia in a young woman

Marcin Książczyk1, Tomasz Kucejko1, Andrzej Lubinski1, Izabela Warchoł1
Folia Cardiologica 2021;16(3):184-186.

Abstract

Idiopathic left fascicular ventricular tachycardia (ILFVT) is characterized by right bundle branch block (RBBB) morphology and left axis deviation. We report a case of ILFVT in a young 27-year-old female patient presenting with a narrow complex tachycardia resistant to vagal maneuvers, adenosine, lidocaine, and electrical cardioversion.

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References

  1. Nogami A. Purkinje-related arrhythmias part I: monomorphic ventricular tachycardias. Pacing Clin Electrophysiol. 2011; 34(5): 624–650.
  2. Belhassen B, Viskin S. Idiopathic ventricular tachycardia and fibrillation. J Cardiovasc Electrophysiol. 1993; 4(3): 356–368.
  3. Ouyang F, Cappato R, Ernst S, et al. Electroanatomic substrate of idiopathic left ventricular tachycardia: unidirectional block and macroreentry within the purkinje network. Circulation. 2002; 105(4): 462–469.
  4. Belhassen B, Rotmensch HH, Laniado S. Response of recurrent sustained ventricular tachycardia to verapamil. Br Heart J. 1981; 46(6): 679–682.
  5. Belhassen B, Shapira I, Pelleg A, et al. Idiopathic recurrent sustained ventricular tachycardia responsive to verapamil: an ECG-electrophysiologic entity. Am Heart J. 1984; 108(4 Pt 1): 1034–1037.
  6. Griffith MJ, Garratt CJ, Rowland E, et al. Effects of intravenous adenosine on verapamil-sensitive "idiopathic" ventricular tachycardia. Am J Cardiol. 1994; 73(11): 759–764.
  7. Tsuchiya T, Okumura K, Honda T, et al. Effects of verapamil and lidocaine on two components of the re-entry circuit of verapamil-senstitive idiopathic left ventricular tachycardia. J Am Coll Cardiol. 2001; 37(5): 1415–1421.