title: [Ventricular bigeminy with fixed with fixed coupling at rest and during exercise as the cause of recurrent dizziness and syncope--successful anti-arrhythmic therapy by high frequency current catheter ablation of a right ventricular arrhythmogenic focus. A case report].
abstract: In a 52-year-old patient with beginning dilatative cardiomyopathy dizziness and syncopes could be observed due to a ventricular bigeminy at rest and under exercise conditions. The patient also showed a marked reduction of exercise capacity and was handicapped in his profession as electrician and unable to work for more than 10 months. Antiarrhythmic drug therapy including the subsequent use of all available antiarrhythmic agents failed in suppressing this arrhythmia. In an electrophysiological study the arrhythmogenic focus could be localized in the right ventricular outflow tract. Application of radiofrequency current resulted in instantaneous termination of the extrasystoly; this result could be documented in repeat Holter monitorings over 12 weeks to present. This case report shows that radiofrequency catheter ablation can in special cases be applied for therapy of extrasystolic phenomena when clinical symptoms necessitate treatment and antiarrhythmic drug therapy fails.
authors.affiliation: Med. Klinik B-Kardiologie, Herzzentrum Wuppertal, Universität Witten/Herdecke.
authors.forename: L J
authors.initials: LJ
authors.lastname: Ulbricht
authors.forename: K
authors.initials: K
authors.lastname: Emmerich
authors.forename: N
authors.initials: N
authors.lastname: Wittmann
authors.forename: H
authors.initials: H
authors.lastname: Probst
authors.forename: I
authors.initials: I
authors.lastname: Krakau
authors.forename: M
authors.initials: M
authors.lastname: Horlitz
authors.forename: K
authors.initials: K
authors.lastname: Klevinghaus
authors.forename: H
authors.initials: H
authors.lastname: Gülker
mesh_terms: D005117:Cardiac Complexes, Premature / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D017115:Catheter Ablation; D004244:Dizziness / Q000209:etiology*; D015716:Electrocardiography, Ambulatory; D005080:Exercise Test; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology; D013575:Syncope / Q000209:etiology*; D017180:Tachycardia, Ventricular / Q000150:complications* / Q000503:physiopathology / Q000601:surgery
vernacular_title: Ventrikulärer Bigeminus mit fixer Kopplung in Ruhe und unter Belastung als Ursache für rezidivierende Schwindelattacken und Synkopen--erfolgreiche antiarrhythmische Therapie durch Hochfrequenzstrom-Ablation eines rechtsventrikulären arrhythmogenen Fokus. Ein Fallbericht.