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Calcium‐Triggered Short‐Coupled Polymorphous Ventricular Tachycardia
Author(s) -
YEH DOREEN DEFARIA,
LU JONATHAN T.,
KIM ALBERT,
YEH ROBERT W.,
SCHEINMAN MELVIN M.
Publication year - 2010
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.1540-8159.2009.02537.x
Subject(s) - medicine , cardiology , ventricular tachycardia , calcium , electrophysiology , electrophysiology study , tachycardia , anesthesia , ablation , catheter ablation
We describe a case of an 18‐year‐old man presenting with syncope found to have short‐coupled premature ventricular complexes (PVCs) with subsequent nonsustained polymorphous ventricular tachycardia (PVT). Electrophysiology testing revealed premature PVCs and PVT provoked by calcium but not isoproterenol. It was noted that the earliest triggered event appeared to arise from ventricular muscle with subsequent involvement of the fascicles and these areas were ablated. The potential mechanisms for calcium triggering of these arrhythmias are discussed. (PACE 2010; 33:117–122)