We report an eight month old infant who presented with incessant Fascicular tachycardia and heart failure which was refractory to drugs and cardioversion. Sinus rhythm was restored by radio frequency ablation and this resulted in improvement in clinical status and cardiac function. Role of catheter ablation in this situation is discussed.
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http://dx.doi.org/10.4103/apc.APC_82_19 | DOI Listing |
J Innov Card Rhythm Manag
February 2022
Department of Cardiology, Health Sciences University, Ankara City Hospital, Ankara, Turkey.
We present a patient with ischemic cardiomyopathy who had ventricular tachycardia (VT) with QRS morphology alternans. The electrophysiological findings, in this case, supported the occurrence of antegrade activation of the proximal His-Purkinje system during VT, with the ultimate electrocardiogram morphology dependent on fusion from intramyocardial and His-Purkinje activations.
View Article and Find Full Text PDFJ Vet Cardiol
February 2022
Cardiac Electrophysiology Section, Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA. Electronic address:
A 1.5-year-old, female-spayed mix-breed dog was presented with recurrent episodes of shaking and excessive panting attributed to drug-refractory ventricular arrhythmia (VA) characterized predominantly by incessant periods of ventricular bigeminy. The VA had a narrow QRS morphology, suggestive of an origin near the His bundle or fascicular system.
View Article and Find Full Text PDFCureus
July 2021
Cardiology, McLaren Health Care, Flint/Michigan State University, Flint, USA.
A 71-year-old male patient with a past medical history of hypertension, hyperlipidemia, and chronic kidney disease stage II presented with a complaint of intermittent palpitations for three months and was found to have wide complex tachycardia on the electrocardiogram (ECG). The patient was given adenosine and amiodarone, following which he underwent synchronized cardioversion at 150 Joules followed by 200 Joules without successful conversion. He was subsequently initiated on lidocaine drip at the rate of 1 to 4 mg/minute to maintain adequate rhythm control, which converted him to sinus rhythm and relieved his symptoms.
View Article and Find Full Text PDFHeartRhythm Case Rep
September 2020
Electrophysiology and Cardiac Pacing Unit, Humanitas Mater Domini Hospital, Castellanza, Italy.
Ann Pediatr Cardiol
April 2020
Department of Cardiology and Electrophysiology, KIMS Hospital, Secunderabad, Telangana, India.
We report an eight month old infant who presented with incessant Fascicular tachycardia and heart failure which was refractory to drugs and cardioversion. Sinus rhythm was restored by radio frequency ablation and this resulted in improvement in clinical status and cardiac function. Role of catheter ablation in this situation is discussed.
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