Bundle branch reentry tachycardia and possible sustained interfascicular reentry tachycardia with a shared unusual induction pattern

被引：23
作者：
Simons, GR
Sorrentino, RA
Zimerman, LI
Wharton, M
Natale, A
机构：
[1] Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC
[2] Box 3635, Duke University, Medical Center, Durham
来源：
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1996年 / 7卷 / 01期
关键词：
ventricular tachycardia; bundle branch reentry; arrhythmia; Purkinje fibers; catheter ablation; interfascicular reentry tachycardia;
D O I：
10.1111/j.1540-8167.1996.tb00459.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A case of bundle branch reentry tachycardia with an unusual induction pattern is presented. Unlike typical cases of this arrhythmia in which tachycardia is usually inducible with routine programmed ventricular stimulation and/or short-long sequences, tachycardia in this case was inducible only with atrial stimulation. It also arose spontaneously during atrial flutter and during isoproterenol administration. After ablation of the right bundle, possible interfascicular reentry tachycardia with a similar induction pattern was observed. This tachycardia was successfully ablated in the region of the posterior fascicle of the left bundle branch.
引用
收藏
页码：44 / 50
页数：7
相关论文
共 19 条
[1]   REENTRY WITHIN HIS-PURKINJE SYSTEM - ELUCIDATION OF REENTRANT CIRCUIT USING RIGHT BUNDLE-BRANCH AND HIS-BUNDLE RECORDINGS [J].
AKHTAR, M ;
GILBERT, C ;
WOLF, FG ;
SCHMIDT, DH .
CIRCULATION, 1978, 58 (02) :295-304
[2]   DEMONSTRATION OF REENTRY WITHIN HIS-PURKINJE SYSTEM IN MAN [J].
AKHTAR, M ;
DAMATO, AN ;
BATSFORD, WP ;
RUSKIN, JN ;
OGUNKELU, JB ;
VARGAS, G .
CIRCULATION, 1974, 50 (06) :1150-1162
[3]   CATHETER ABLATION OF THE LEFT-BUNDLE-BRANCH FOR THE TREATMENT OF SUSTAINED BUNDLE-BRANCH REENTRANT VENTRICULAR-TACHYCARDIA [J].
BLANCK, Z ;
DESHPANDE, S ;
JAZAYERI, MR ;
AKHTAR, M .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1995, 6 (01) :40-43
[4]   BUNDLE-BRANCH REENTRY - A MECHANISM OF VENTRICULAR-TACHYCARDIA IN THE ABSENCE OF MYOCARDIAL OR VALVULAR DYSFUNCTION [J].
BLANCK, Z ;
JAZAYERI, M ;
DHALA, A ;
DESHPANDE, S ;
SRA, J ;
AKHTAR, M .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 22 (06) :1718-1722
[5]   BUNDLE-BRANCH REENTRANT VENTRICULAR-TACHYCARDIA - CUMULATIVE EXPERIENCE IN 48 PATIENTS [J].
BLANCK, Z ;
DHALA, A ;
DESHPANDE, S ;
SRA, J ;
JAZAYERI, M ;
AKHTAR, M .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1993, 4 (03) :253-262
[6]   SUSTAINED BUNDLE-BRANCH REENTRY AS A MECHANISM OF CLINICAL TACHYCARDIA [J].
CACERES, J ;
JAZAYERI, M ;
MCKINNIE, J ;
AVITALL, B ;
DENKER, ST ;
TCHOU, P ;
AKHTAR, M .
CIRCULATION, 1989, 79 (02) :256-270
[7]   CURE OF INTERFASCICULAR REENTRANT VENTRICULAR-TACHYCARDIA BY ABLATION OF THE ANTERIOR FASCICLE OF THE LEFT-BUNDLE-BRANCH [J].
CRIJNS, HJGM ;
SMEETS, JLRM ;
RODRIGUEZ, LM ;
MEIJER, A ;
WELLENS, HJJ .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1995, 6 (06) :486-492
[8]  
JAZAYERI M, 1992, CIRCULATION, V86, P519
[9]  
JAZAYERI MR, 1994, CURR PROB CARDIOLOGY, V6, P285
[10]   TREATMENT OF MACROREENTRANT VENTRICULAR-TACHYCARDIA WITH RADIOFREQUENCY ABLATION OF THE RIGHT BUNDLE-BRANCH [J].
LANGBERG, JJ ;
DESAI, J ;
DULLET, N ;
SCHEINMAN, MM .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (13) :1010-1013
12