Malignant conversion of benign right ventricular outflow track ventricular tachycardia 18 years post-ablation

Wendy H. Gerstein, MD; Neal S. Gerstein, MD; Andrea Sandoval, MD; Michael B. West, MD

doi:10.1016/j.joa.2014.11.005

Journal of Arrhythmia (Aug 2015)

Malignant conversion of benign right ventricular outflow track ventricular tachycardia 18 years post-ablation

Wendy H. Gerstein, MD,
Neal S. Gerstein, MD,
Andrea Sandoval, MD,
Michael B. West, MD

Affiliations

Wendy H. Gerstein, MD: Department of Internal Medicine, Raymond G. Murphy VA Medical Center, Albuquerque, NM, USA
Neal S. Gerstein, MD: Department of Anesthesiology, University of New Mexico School of Medicine, MSC 10 6000, 1-UNM, Albuquerque, NM 87131, USA
Andrea Sandoval, MD: Department of Anesthesiology, Rush Medical Center, Chicago, IL, USA
Michael B. West, MD: Division of Cardiology, Raymond G. Murphy VA Medical Center, Albuquerque, NM, USA

DOI: https://doi.org/10.1016/j.joa.2014.11.005
Journal volume & issue: Vol. 31, no. 4
pp. 240 – 242

Abstract

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This case report describes the rare phenomenon of malignant conversion of benign right ventricular outflow tract ventricular tachycardia into idiopathic ventricular fibrillation 18 years after successful ablation, in the absence of any type of heart disease. We review the current literature looking at predictors for this event, with the conclusion that there are no reliable risk predictors available. Until clear guidelines exist, we suggest patients be informed and monitored for the possibility of “malignant conversion” following ablation for benign idiopathic outflow tract ventricular tachycardia.

Published in Journal of Arrhythmia

ISSN: 1880-4276 (Print); 1883-2148 (Online)
Publisher: Wiley
Country of publisher: Australia
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://onlinelibrary.wiley.com/journal/18832148

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Abstract

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