Affiliation:
1. Arrhythmia Unit. Cardiology Department Hospital Universitario Virgen de las Nieves Granada Spain
2. EP Division Abbott Medical Spain Granada Spain
Abstract
AbstractIdiopathic verapamil‐sensitive fascicular ventricular tachycardia (VT) is the most common form of Purkinje‐related ventricular tachycardia (PRVT). Left septal fascicle (LSF) involvement and its connections with the other fascicles, have been recently reported as a pathophysiologic mechanism for this form of PRVT. We describe a case of idiopathic PRVT with LSF involvement using omnipolar technology (OT) mapping in relation to a false tendon. Ablation in the area with concealed fusion entrainment did not terminate the tachycardia. However, radiofrequency application in the area of LSF with manifest fusion entrainment, resulted in immediate tachycardia termination. Six months follow‐up showed no tachycardia recurrence.
Subject
Cardiology and Cardiovascular Medicine,General Medicine
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