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Radiofrequency ablation for fascicular ventricular tachycardia causing tachycardiomyopathy and brief literature review


1 Consultant Cardiologist and Electrophysiologist, Department of Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
2 Junior Consultant, Department of Pediatric Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
3 Consultant, Department of Pediatric Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
4 Chief Cath Lab Technician, Department of Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
5 Senior Consultant, Department of Pediatric cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India

Correspondence Address:
Dr. Anil Kumar Singhi
Department of Pediatric Cardiology, Medica Super Specialty Hospital, Mukundapur, Kolkata - 700 099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_73_20

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Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 99-104

 

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A 10-years-old boy presented with a history of effort intolerance and palpitations for 4 months. His electrocardiogram showed wide complex tachycardia suggestive of fascicular ventricular tachycardia (VT). The echocardiogram showed moderate-to-severe left ventricular systolic dysfunction without any structural lesion. The tachycardia was unresponsive to adenosine and direct current cardioversion. It responded to oral verapamil. The electrophysiology study confirmed the tachycardia as left posterior fascicular VT. The tachycardia was successfully ablated guided by Purkinje potential on three-dimensional mappings. He showed improvement in ventricular functions before discharge. He is doing well on short-term follow-up.






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1 Consultant Cardiologist and Electrophysiologist, Department of Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
2 Junior Consultant, Department of Pediatric Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
3 Consultant, Department of Pediatric Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
4 Chief Cath Lab Technician, Department of Cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India
5 Senior Consultant, Department of Pediatric cardiology, Medica Super Specialty Hospital, Kolkata, West Bengal, India

Correspondence Address:
Dr. Anil Kumar Singhi
Department of Pediatric Cardiology, Medica Super Specialty Hospital, Mukundapur, Kolkata - 700 099, West Bengal
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_73_20

Rights and Permissions

A 10-years-old boy presented with a history of effort intolerance and palpitations for 4 months. His electrocardiogram showed wide complex tachycardia suggestive of fascicular ventricular tachycardia (VT). The echocardiogram showed moderate-to-severe left ventricular systolic dysfunction without any structural lesion. The tachycardia was unresponsive to adenosine and direct current cardioversion. It responded to oral verapamil. The electrophysiology study confirmed the tachycardia as left posterior fascicular VT. The tachycardia was successfully ablated guided by Purkinje potential on three-dimensional mappings. He showed improvement in ventricular functions before discharge. He is doing well on short-term follow-up.






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