Catheter Ablation of a Polymorphic Ventricular Tachycardia Inducing Monofocal Premature Ventricular Complex

被引:10
|
作者
Uemura, Takashi [1 ]
Yamabe, Hiroshige [1 ]
Tanaka, Yasuaki [1 ]
Morihisa, Kenji [1 ]
Kawano, Hiroaki [1 ]
Kaikita, Koichi [1 ]
Sumida, Hitoshi [1 ]
Sugiyama, Seigo [1 ]
Ogawa, Hisao [1 ]
机构
[1] Kumamoto Univ, Dept Cardiovasc Med, Grad Sch Med Sci, Kumamoto, Japan
关键词
polymorphic ventricular tachycardia; right ventricular outflow tract; catheter ablation;
D O I
10.2169/internalmedicine.47.1211
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ventricular tachycardia originating from the right ventricular outflow tract (RVOT) is considered benign, but sometimes it causes polymorphic ventricular tachycardia and ventricular fibrillation, resulting in sudden cardiac death. A 58-year-old woman without structural heart disease was admitted for evaluation of recurrent episodes of syncope. Surface ECG showed frequent repetitive premature ventricular contraction (PVC) of RVOT origin. Polymorphic ventricular tachycardia triggered by the same PVC was documented by Holter ECG during an episode of syncope. Radiofrequency catheter ablation was performed to eradicate this PVC. No polymorphic ventricular tachycardia has developed after the procedure, and the patient has had no recurrence of syncope.
引用
收藏
页码:1799 / 1802
页数:4
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