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. 2017 Jun 2;5(7):1190-1192.
doi: 10.1002/ccr3.1021. eCollection 2017 Jul.

Years of palpitations and a heart rate of 213 beats per minute

Kevin Lee  1 , Joseph Banta  1 , Matthew D'Ambrosio  1 , Apostolos Voudouris  2 , Antonios Tsompanidis  3
Affiliations

Years of palpitations and a heart rate of 213 beats per minute

Kevin Lee et al. Clin Case Rep. .

Abstract

Belhassen tachycardia is the most common idiopathic ventricular tachycardia arising from the left ventricle, classically characterized by a right bundle branch block and left axis deviation. Vigilance for Belhassen tachycardia is essential as intravenous verapamil has proven to be highly efficacious for treating symptomatic patients with this underlying arrhythmia.

Keywords: Belhassen tachycardia; bundle branch block; re‐entrant circuit; verapamil.

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Figures

Figure 1
Figure 1
Initial ECG upon emergency department evaluation showing sinus tachycardia with occasional premature ventricular complexes.
Figure 2
Figure 2
Repeat ECG in the emergency department indicating Belhassen tachycardia as evidenced by a rate of 213 bpm and a right bundle branch block (RBBB) and left axis deviation. This was a unique case of Belhassen ventricular tachycardia in which the heart rate greater than 200 bpm and a QRS that intermittently dropped below 120 msec were seen.
Figure 3
Figure 3
Echocardiogram findings indicated no significant structural heart disease. Mild tricuspid regurgitation, mild mitral regurgitation, and normal left ventricle systolic function with an ejection fraction of 60–65% were all noted.
See this image and copyright information in PMC

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