Catheter ablation of a polymorphic ventricular tachycardia inducing monofocal premature ventricular complex.
Ventricular tachycardia originating from the right ventricular outflow tract (RVOT) is considered benign, but sometimes it causes polymorphic ventricular tachycardia and ventricular fibrillation, resulting in sudden cardiac death. A 58-year-old woman without structural heart disease was admitted for evaluation of recurrent episodes of syncope. Surface ECG showed frequent repetitive premature ventricular contraction (PVC) of RVOT origin. Polymorphic ventricular tachycardia triggered by the same PVC was documented by Holter ECG during an episode of syncope. Radiofrequency catheter ablation was performed to eradicate this PVC. No polymorphic ventricular tachycardia has developed after the procedure, and the patient has had no recurrence of syncope.
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto.
Takashi
T
Uemura
Hiroshige
H
Yamabe
Yasuaki
Y
Tanaka
Kenji
K
Morihisa
Hiroaki
H
Kawano
Koichi
K
Kaikita
Hitoshi
H
Sumida
Seigo
S
Sugiyama
Hisao
H
Ogawa
D017115:Catheter Ablation; D015716:Electrocardiography, Ambulatory; D005260:Female; D006801:Humans; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*; D018879:Ventricular Premature Complexes / Q000209:etiology* / Q000503:physiopathology