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Case Reports
. 2023 Feb 18;9(5):306-309.
doi: 10.1016/j.hrcr.2023.02.007. eCollection 2023 May.

Bundle branch reentrant ventricular tachycardia in a patient with complete heart block and no ventricular escape

Summit Pandat  1 , Thomas Flautt  1 , Nilesh Mathuria  1
Affiliations
Case Reports

Bundle branch reentrant ventricular tachycardia in a patient with complete heart block and no ventricular escape

Summit Pandat et al. HeartRhythm Case Rep. .
No abstract available

Keywords: AV block; Bundle branch; Catheter ablation; His bundle; Right bundle; Ventricular tachycardia.

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Figures

Figure 1
Figure 1
A: Device electrogram showing ventricular tachycardia (VT) initiation via a premature ventricular contraction. B: Unsuccessful therapy with antitachycardia pacing with postpacing interval − tachycardia cycle length of 110 ms. C: Twelve-lead electrocardiogram during VT.
Figure 2
Figure 2
A: Intracardiac electrograms during ventricular tachycardia demonstrating discrete right bundle potential (arrow) and distal Purkinje potential (circle). B: RB-RB cycle length preceding V-V cycle length.
Figure 3
Figure 3
A: Targeted ablation of right bundle potential (black arrows). B: Ablation lesion set in steep left anterior oblique view of the right ventricle
See this image and copyright information in PMC

References

    1. Josephson M. Lippincott Williams & Wilkins; 2008. Clinical cardiac electrophysiology: Techniques and interpretations.
    1. Cronin E.M., Bogun F., Maury P., et al. 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. Heart Rhythm. 2020;17:e2–e154. - PMC - PubMed
    1. Cohen T.J., Chien W.W., Lurie K.G., et al. Radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardia: results and long-term follow-up. J Am Coll Cardiol. 1991;18:1767–1773. - PubMed
    1. Pathak R.K., Fahed J., Santangeli P., et al. Long-term outcome of catheter ablation for treatment of bundle branch re-entrant tachycardia. JACC Clin Electrophysiol. 2018;4:331–338. - PubMed
    1. Chen H., Shi L., Yang B., et al. Electrophysiological characteristics of bundle branch reentry ventricular tachycardia in patients without structural heart disease. Circ Arrhythm Electrophysiol. 2018;11 - PubMed

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