Coexistence of atrioventricular nodal reentrant tachycardia and idiopathic left ventricular outflow-tract tachycardia

Haghjoo, Majid; Arya, Arash; Dehghani, Mohammadreza; Emkanjoo, Zahra; Fazelifar, Amirfarjam; Heidari, Alireza and Sadr-Ameli, MohammadAli (2005) Coexistence of atrioventricular nodal reentrant tachycardia and idiopathic left ventricular outflow-tract tachycardia. Indian Pacing and Electrophysiology Journal, 5 (2). pp. 149-154. ISSN 0972-6292

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Abstract

Double tachycardia is a relatively rare condition. We describe a 21 year old woman with history of frequent palpitations. In one of these episodes, she had wide complex tachycardia with right bundle branch and inferior axis morphology. A typical atrioventricular nodal tachycardia was induced during electrophysiologic study, aimed at induction of clinically documented tachycardia. Initially no ventricular tachycardia was inducible. After successful ablation of slow pathway, a wide complex tachycardia was induced by programmed stimulation from right ventricular outflow tract. Mapping localized the focus of tachycardia in left ventricular outflow tract and successfully ablated via retrograde aortic approach. During 7 month's follow-up, she has been symptom free with no recurrence. This work describes successful ablation of rare combination of typical atrioventricular nodal tachycardia and left ventricular outflow tract tachycardia in the same patient during one session.

EPrint Type:Article
Uncontrolled Keywords:double tachycardia; left ventricular outflow tract tachycardia; atrioventricular nodal reentrant tachycardia.
Subjects:Cardiovascular Diseases > Heart Diseases > Arrhythmia > Tachycardia
Cardiovascular Diseases > Heart Diseases > Arrhythmia
ID Code:154
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:03 July 2005

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