Intramural Reentrant Ventricular Tachycardia in a Patient with Severe Hypertensive Left Ventricular Hypertrophy.
10.4070/kcj.2015.45.6.526
- Author:
Chin Yu LIN
1
;
Fa Po CHUNG
;
Yenn Jiang LIN
;
Shih Ann CHEN
Author Information
1. Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. epsachen@ms41.hinet.net
- Publication Type:Case Report
- Keywords:
Catheter ablation;
Hypertension;
Hypertrophy, left ventricular;
Tachycardia, ventricular
- MeSH:
Catheter Ablation;
Humans;
Hypertension;
Hypertrophy, Left Ventricular*;
Pericardium;
Tachycardia, Ventricular*
- From:Korean Circulation Journal
2015;45(6):526-530
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe the case of a patient with severe hypertensive left ventricular hypertrophy and sustained hemodynamically unstable ventricular tachycardia (VT). Entrainment was demonstrated in the electrophysiological study. Activation mapping and pacemapping identified the location of the intramural reentrant VT with the exit site close to the epicardium. However, VT persisted after ablation at the epicardial exit site. Successful ablation was performed endocardially at the corresponding position.
