Verapamil-sensitive idiopathic left ventricular tachycardia and concomitant atrioventricular nodal reentrant tachycardia
We describe the case of a young patient with runs of repetitive monomorphic left ventricular tachycardia. He was diagnosed with verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) and underwent an electrophysiological study, in which dual atrioventricular (AV) nodal physiology was ev...
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| Veröffentlicht in: | Journal of electrocardiology 2021-07, Vol.67, p.7-10 |
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| container_title | Journal of electrocardiology |
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| creator | Varvarousis, Dimitrios Andrikopoulos, Georgios Polytarchou, Kali Poulimenos, Leonidas Kallistratos, Manolis Tsinivizov, Pavlos Triantafyllis, Andreas Sikiotis, Alexandros Manolis, Athanasios |
| description | We describe the case of a young patient with runs of repetitive monomorphic left ventricular tachycardia. He was diagnosed with verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) and underwent an electrophysiological study, in which dual atrioventricular (AV) nodal physiology was evident, with an AV nodal reentrant tachycardia (AVNRT) being easily and reproducibly induced. Both the AVNRT and the ILVT were successfully ablated using high-density electroanatomical mapping and an open-irrigation catheter. In conclusion, verapamil-sensitive ILVT might coexist with AVNRT. In case of invasive therapy, a thorough electrophysiological evaluation is mandatory to exclude or treat other co-existing reentrant supraventricular arrhythmias. |
| doi_str_mv | 10.1016/j.jelectrocard.2021.04.013 |
| format | Article |
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He was diagnosed with verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) and underwent an electrophysiological study, in which dual atrioventricular (AV) nodal physiology was evident, with an AV nodal reentrant tachycardia (AVNRT) being easily and reproducibly induced. Both the AVNRT and the ILVT were successfully ablated using high-density electroanatomical mapping and an open-irrigation catheter. In conclusion, verapamil-sensitive ILVT might coexist with AVNRT. In case of invasive therapy, a thorough electrophysiological evaluation is mandatory to exclude or treat other co-existing reentrant supraventricular arrhythmias.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/j.jelectrocard.2021.04.013</identifier><identifier>PMID: 33979720</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Ablation ; Atrioventricular nodal reentrant tachycardia ; Cardiac arrhythmia ; Cardiovascular disease ; Catheters ; Idiopathic ventricular tachycardia ; Verapamil sensitive</subject><ispartof>Journal of electrocardiology, 2021-07, Vol.67, p.7-10</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. 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He was diagnosed with verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) and underwent an electrophysiological study, in which dual atrioventricular (AV) nodal physiology was evident, with an AV nodal reentrant tachycardia (AVNRT) being easily and reproducibly induced. Both the AVNRT and the ILVT were successfully ablated using high-density electroanatomical mapping and an open-irrigation catheter. In conclusion, verapamil-sensitive ILVT might coexist with AVNRT. In case of invasive therapy, a thorough electrophysiological evaluation is mandatory to exclude or treat other co-existing reentrant supraventricular arrhythmias.</description><subject>Ablation</subject><subject>Atrioventricular nodal reentrant tachycardia</subject><subject>Cardiac arrhythmia</subject><subject>Cardiovascular disease</subject><subject>Catheters</subject><subject>Idiopathic ventricular tachycardia</subject><subject>Verapamil sensitive</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqNkU9v1DAQxS1ERbcLXwFFcOGS1P8aJ9xQgYJUqRfgas3aE9VRYi-2s2q_fR1tQStOnEby_N688TxC3jHaMMray7EZcUKTYzAQbcMpZw2VDWXiBdmwK8HrTgr6kmwo5bymSrTn5CKlkVLac8VfkXMhetUrTjfk4RdG2MPspjqhTy67A1bOurCHfO9MNeGQqwP6HJ1ZJohVBnP_uPo6qMDbygRvwuwy-FxBocIp7IOFqYq4Pq3Aifg1ORtgSvjmuW7Jz69fflx_q2_vbr5ff7qtjaRdrrvOACghsTWSy8GyFqDnKGRvjdkpLuxOWMWH8jEljaDAkO04Z50duMLS35IPx7n7GH4vmLKeXTI4TeAxLEnzK94K2styty15_w86hiX6sl2h2mLJVMcK9fFImRhSijjofXQzxEfNqF7z0aM-zUev-WgqdcmniN8-Wyy7Ge1f6Z9ACvD5CGC5ycFh1Mk49Aati2WktsH9j88T11yrZw</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Varvarousis, Dimitrios</creator><creator>Andrikopoulos, Georgios</creator><creator>Polytarchou, Kali</creator><creator>Poulimenos, Leonidas</creator><creator>Kallistratos, Manolis</creator><creator>Tsinivizov, Pavlos</creator><creator>Triantafyllis, Andreas</creator><creator>Sikiotis, Alexandros</creator><creator>Manolis, Athanasios</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20210701</creationdate><title>Verapamil-sensitive idiopathic left ventricular tachycardia and concomitant atrioventricular nodal reentrant tachycardia</title><author>Varvarousis, Dimitrios ; Andrikopoulos, Georgios ; Polytarchou, Kali ; Poulimenos, Leonidas ; Kallistratos, Manolis ; Tsinivizov, Pavlos ; Triantafyllis, Andreas ; Sikiotis, Alexandros ; Manolis, Athanasios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-88caa734e6c424fd16aa92e349dccb723db3d72f92774c30a1e1b2218df27e723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ablation</topic><topic>Atrioventricular nodal reentrant tachycardia</topic><topic>Cardiac arrhythmia</topic><topic>Cardiovascular disease</topic><topic>Catheters</topic><topic>Idiopathic ventricular tachycardia</topic><topic>Verapamil sensitive</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Varvarousis, Dimitrios</creatorcontrib><creatorcontrib>Andrikopoulos, Georgios</creatorcontrib><creatorcontrib>Polytarchou, Kali</creatorcontrib><creatorcontrib>Poulimenos, Leonidas</creatorcontrib><creatorcontrib>Kallistratos, Manolis</creatorcontrib><creatorcontrib>Tsinivizov, Pavlos</creatorcontrib><creatorcontrib>Triantafyllis, Andreas</creatorcontrib><creatorcontrib>Sikiotis, Alexandros</creatorcontrib><creatorcontrib>Manolis, Athanasios</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Varvarousis, Dimitrios</au><au>Andrikopoulos, Georgios</au><au>Polytarchou, Kali</au><au>Poulimenos, Leonidas</au><au>Kallistratos, Manolis</au><au>Tsinivizov, Pavlos</au><au>Triantafyllis, Andreas</au><au>Sikiotis, Alexandros</au><au>Manolis, Athanasios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Verapamil-sensitive idiopathic left ventricular tachycardia and concomitant atrioventricular nodal reentrant tachycardia</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>67</volume><spage>7</spage><epage>10</epage><pages>7-10</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><abstract>We describe the case of a young patient with runs of repetitive monomorphic left ventricular tachycardia. He was diagnosed with verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) and underwent an electrophysiological study, in which dual atrioventricular (AV) nodal physiology was evident, with an AV nodal reentrant tachycardia (AVNRT) being easily and reproducibly induced. Both the AVNRT and the ILVT were successfully ablated using high-density electroanatomical mapping and an open-irrigation catheter. In conclusion, verapamil-sensitive ILVT might coexist with AVNRT. In case of invasive therapy, a thorough electrophysiological evaluation is mandatory to exclude or treat other co-existing reentrant supraventricular arrhythmias.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33979720</pmid><doi>10.1016/j.jelectrocard.2021.04.013</doi><tpages>4</tpages></addata></record> |
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| subjects | Ablation Atrioventricular nodal reentrant tachycardia Cardiac arrhythmia Cardiovascular disease Catheters Idiopathic ventricular tachycardia Verapamil sensitive |
| title | Verapamil-sensitive idiopathic left ventricular tachycardia and concomitant atrioventricular nodal reentrant tachycardia |
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