Graham, AJ;
Behar, JM;
Sporton, S;
Chow, A;
Dhinoja, M;
Lambiase, PD;
(2019)
Finding the right pathway is the key to success.
HeartRhythm Case Reports
10.1016/j.hrcr.2018.12.005.
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Abstract
Introduction We present a case involving an initially unsuccessful ablation attempt of a right ventricular outflow tract (RVOT) ventricular tachycardia (VT) and the subsequent management that provided a definitive diagnosis and effective treatment. VT with left bundle branch block morphology and an inferior axis is often caused by focal tachycardia arising from the RVOT. The differential for this arrhythmia includes a macroreentrant VT. This can be due to arrhythmogenic right ventricular cardiomyopathy (ARVC),1 which is diagnosed using a combination of clinical cues and electrical and noninvasive imaging to meet the Task Force Criteria.2 This case demonstrates the difficulties with diagnosis in the early subclinical phase of ARVC and illustrates the pathophysiology of reentrant VT.
| Type: | Article |
|---|---|
| Title: | Finding the right pathway is the key to success |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.hrcr.2018.12.005 |
| Publisher version: | https://doi.org/10.1016/j.hrcr.2018.12.005 |
| Language: | English |
| Additional information: | This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Keywords: | Ablation, ARVC, Epicardial, Isthmus, Ventricular tachycardia |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Clinical Science |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10070421 |
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