TY - JOUR
T1 - Bundle branch reentrant ventricular tachycardia
T2 - review and case presentation
AU - Romero, Jorge
AU - Santangeli, Pasquale
AU - Pathak, Rajeev K.
AU - Grushko, Michael
AU - Briceno, David
AU - Cerrud-Rodriguez, Roberto
AU - Quispe, Renato
AU - Grupposo, Vito
AU - Di Biase, Luigi
N1 - Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - Bundle branch reentrant ventricular tachycardia (BBRVT) is characterized by a unique, fast (200–300 beats/min), monomorphic wide complex tachycardia (WCT) associated with syncope, hemodynamic compromise, and cardiac arrest. It is challenging to diagnose, requiring a His bundle recording and specific pacing maneuvers. The overall incidence has been reported to be up to 20% among patients with non-ischemic cardiomyopathy (NICM) undergoing electrophysiologic studies. We report a case of BBRVT in a patient with ischemic cardiomyopathy (ICM) presenting as a WCT with recurrent implantable-cardioverter-defibrillator (ICD) shocks. We describe all the characteristic features of BBRVT and discuss its differential. We also discuss the role of ablation for this condition.
AB - Bundle branch reentrant ventricular tachycardia (BBRVT) is characterized by a unique, fast (200–300 beats/min), monomorphic wide complex tachycardia (WCT) associated with syncope, hemodynamic compromise, and cardiac arrest. It is challenging to diagnose, requiring a His bundle recording and specific pacing maneuvers. The overall incidence has been reported to be up to 20% among patients with non-ischemic cardiomyopathy (NICM) undergoing electrophysiologic studies. We report a case of BBRVT in a patient with ischemic cardiomyopathy (ICM) presenting as a WCT with recurrent implantable-cardioverter-defibrillator (ICD) shocks. We describe all the characteristic features of BBRVT and discuss its differential. We also discuss the role of ablation for this condition.
KW - Bundle branch reentrant ventricular tachycardia (BBRVT)
KW - Catheter ablation (CA)
KW - Implantable cardioverter-defibrillator (ICD)
KW - Ischemic cardiomyopathy (ICM)
KW - Ventricular tachycardia (VT)
KW - Wide complex tachycardia (WCT)
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U2 - 10.1007/s10840-018-0434-z
DO - 10.1007/s10840-018-0434-z
M3 - Article
C2 - 30155771
AN - SCOPUS:85052688306
SN - 1383-875X
VL - 52
SP - 385
EP - 393
JO - Journal of Interventional Cardiac Electrophysiology
JF - Journal of Interventional Cardiac Electrophysiology
IS - 3
ER -