Indian Pacing and Electrophysiology Journal (Jul 2014)

Ischemic Ventricular Tachycardia Presenting as a Narrow Complex Tachycardia

  • Stephen P. Page, MD, MRCP,
  • Troy Watts,
  • Wee Tiong Yeo, MD,
  • Mehul Dhinoja, FRCP

DOI
https://doi.org/10.1016/S0972-6292(16)30777-X
Journal volume & issue
Vol. 14, no. 4
pp. 203 – 210

Abstract

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This report describes a patient presenting with a narrow complex tachycardia in the context of prior myocardial infarction and impaired ventricular function. Electrophysiological studies confirmed ventricular tachycardia and activation and entrainment mapping demonstrated a critical isthmus within an area of scar involving the His-Purkinje system accounting for the narrow QRS morphology. This very rare case shares some similarities with upper septal ventricular tachycardia seen in patients with structurally normal hearts, but to our knowledge has not been seen previously in patients with ischemic heart disease.

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