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Rapid Ventricular Tachycardia Due to His‐Purkinje Reentry
Author(s) -
WALTER PAUL F.,
POLLAK SCOTT
Publication year - 1984
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1984.tb05603.x
Subject(s) - reentry , medicine , cardiology , ventricular tachycardia , lidocaine , tachycardia , anesthesia , purkinje fibers , electrophysiology
Two patients developed rapid His‐Purkinje reentrant tachycardia during programmed ventricular stimulation for evaluation of recurrent ventricular tachycardia. In Patient 1, His‐Purkinje reentry induced a morphologically distinct ventricular tachycardia which may have been a reentrant circuit operating independently for several cardiac cycles. His‐Purkinje reentry was not inducible in Patient 2 until lidocaine was given. Following lidocaine administration, sustained His‐Purkinje reentrant tachycardia was initiated by 2 premature ventricular stimuli. The tachycardia was rapid (240 beats per minute) and required cardio‐version.