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Adenosine and Verapamil‐Sensitive Ventricular Tachycardia Originating From the Left Ventricle: Radiofrequency Catheter Ablation
Author(s) -
DeLACEY WILLIAM A.,
NATH SUNIL,
HAINES DAVID E.,
BARBER MICHAEL J.,
DiMARCO JOHN P.
Publication year - 1992
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.1540-8159.1992.tb04166.x
Subject(s) - medicine , cardiology , verapamil , ventricle , tachycardia , adenosine , ventricular tachycardia , catheter ablation , left bundle branch block , radiofrequency catheter ablation , reentry , radiofrequency ablation , right bundle branch block , ablation , qrs complex , anesthesia , electrocardiography , heart failure , calcium
A ventricular tachycardia (VT) with right bundle branch block (RBBB) QRS morphology and left axis originating from the inferoapical segment of the left ventricle is described in a 49‐year‐old man without structural heart disease. This VT could be initiated during isoproterenol infusion and was terminated with intravenous administration of adenosine and verapamil. Radiofrequency ablation eliminated the tachycardia. Previous reports have suggested reentry as the mechanism for a verapamil‐sensitive VT with this EGG morphology, while cAMP‐mediated triggered activity has been proposed as a mechanism for VTs sensitive to adenosine. The latter more typically arise in the right ventricular out flow tract. The electrophysiological and electropharmacological characteristics of the tachycardia in this patient suggest that this VT morphology is not specific for a mechanism but rather for the location of the site of origin.