title: Bidirectional ventricular tachycardia due to coronary allograft vasculopathy a unique presentation.
abstract: Bidirectional ventricular tachycardia (BVT) is an uncommon type of polymorphic ventricular tachycardia (PVT) with alternating polarity of the QRS complex most commonly described digitalis toxicity. Recent data has demonstrated the possible molecular basis of this electrocardiographic phenomenon. To our knowledge this is the first reported case of BVT in a patient with orthotopic cardiac transplantation and coronary allograft vasculopathy.
authors.affiliation: Department of Cardiology and Electrophysiology, Hartford Hospital, University of Connecticut, Hartford, CT, USA.
authors.forename: Sanjeev P
authors.initials: SP
authors.lastname: Bhavnani
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Clyne
mesh_terms: D000638:Amiodarone / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000628:therapy; D017147:Defibrillators, Implantable; D054855:Drug-Eluting Stents; D004562:Electrocardiography / Q000379:methods*; D005500:Follow-Up Studies; D016027:Heart Transplantation; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013610:Tachycardia / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014184:Transplantation, Homologous
chemical_list: D000889:Anti-Arrhythmia Agents; D008012:Lidocaine; D000638:Amiodarone