A 13-year male patient with a history of tachycardia attacks was diagnosed to have left posterior fascicular ventricular tachycardia (VT) according to the electrocardiogram (ECG) obtained at the emergency service. This diagnosis was confirmed with advanced electrophysiological studies and the case was diagnosed by genetic evaluation, which was performed to reveal the underlying cause, to have Brugada type 2 syndrome that might be associated with sudden cardiac death. Underlying causes should be evaluated, although idiopathic VTs generally have a good prognosis. Key Words: Brugada syndrome, Posterior fascicular ventricular tachycardia, Right bundle branch block.
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http://dx.doi.org/10.29271/jcpsp.2022.06.804 | DOI Listing |
Circ Arrhythm Electrophysiol
December 2024
Division of Cardiology, University of California San Francisco (H.H.H., A.C.L., M.M.S.).
Complex ventricular tachycardias involving the fascicular system (fascicular ventricular tachycardias [FVTs]) can be challenging. In this review, we describe our approach to the diagnosis and ablation of these arrhythmias with 10 illustrative cases that involve (1) differentiation from supraventricular tachycardia; (2) assessment for atypical bundle branch reentry and other interfascicular FVTs; (3) examination of P1/P2 activation sequences in sinus rhythm, pacing, and tachycardia; and (4) entrainment techniques to establish the tachycardia mechanism and aid circuit localization. To summarize, 5 cases had prior ablation with 2 previously misdiagnosed as supraventricular tachycardia.
View Article and Find Full Text PDFJ Electrocardiol
September 2024
Section of Cardiology, Ospedale Privato Quisisana, Viale Cavour 128, 44121 Ferrara, Italy. Electronic address:
Heart Rhythm
September 2024
Department of Echocardiography, Zhongshan Hospital, Fudan University, Shanghai, China; Department of Cardiology, Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Medical Imaging, Fudan University, Shanghai, China. Electronic address:
HeartRhythm Case Rep
August 2024
Department of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Indian Pacing Electrophysiol J
July 2024
Cardiology Department. Infanta Leonor Hospital, Gran Vía Del Este, 28030, Madrid, Spain.
Background: Variation in human left bundle branch (LBB) anatomy has a significant effect on the sequence of left ventricular depolarization. However, little is known regarding the electrophysiological characteristics of pacing different LBB fascicles.
Objective: We aimed to analyse the different electrocardiographic characteristics of LBB pacing (LBBP) attending to the site of pacing at the LBB system.
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