Two Ventricular Tachycardias with Cycle Length and QRS Alternans: Insights into the Mechanism from Mapping and Ablation of the Tachycardias

被引:6
作者
Kalbfleisch, Steven [1 ]
Hart, David [1 ]
Weiss, Raul [1 ]
机构
[1] Ohio State Univ Hosp, Columbus, OH 43210 USA
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2009年 / 32卷 / 12期
关键词
VT; electrophysiology-clinical; alternans; ELECTRICAL ALTERNANS; PARASYSTOLE;
D O I
10.1111/j.1540-8159.2009.02529.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This case describes a patient with two separate foci of idiopathic ventricular tachycardia in the right ventricle. Both of the tachycardias manifested cycle length and QRS alternans. Both were successfully ablated and information from the electrophysiologic study and ablation procedure indicated that both tachycardias were focal, secondary to triggered activity, and that the best model to explain the cycle length and QRS alternans during tachycardia was that of "self-entraining modulated parasystole." ( PACE 2009; 32: e31-e35)
引用
收藏
页码:e31 / e35
页数:5
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