title: [Fascicular ventricular tachycardia in a 49-year-old patient].
abstract: We report a 49-year-old patient who presented with tachycardia in our emergency room. The 12-lead ECG showed a wide complex tachycardia with a heart rate of 234 beats per minute. After structural heart disease was excluded via echocardiography, coronary angiography and magnetic resonance imaging, an electrophysiological study was performed. During programmed ventricular stimulation, a fascicular tachycardia was induced, which was successfully treated by radiofrequency ablation. Fascicular ventricular tachycardia is a rare tachycardia that occurs in patients without structural heart disease. Radiofrequency ablation can be performed safely and shows a high success rate. Differential diagnoses of fascicular ventricular tachycardias are substrate-based ventricular tachycardia and supraventricular tachycardia.
authors.affiliation: Department of Cardiology, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland. barbara.bellmann@charite.de.
authors.forename: Barbara
authors.initials: B
authors.lastname: Bellmann
authors.affiliation: Department of Cardiology, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Patrick
authors.initials: P
authors.lastname: Nagel
authors.affiliation: Department of Cardiology, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Verena
authors.initials: V
authors.lastname: Tscholl
authors.affiliation: Department of Cardiology, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Mattias
authors.initials: M
authors.lastname: Roser
authors.affiliation: Department of Cardiology, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Andreas
authors.initials: A
authors.lastname: Rillig
mesh_terms: D018780:Body Surface Potential Mapping / Q000379:methods*; D057791:Cardiac Imaging Techniques / Q000379:methods*; D017115:Catheter Ablation / Q000379:methods*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000601:surgery*; D016896:Treatment Outcome
keywords: Ablation; Electrophysiological examination; Fascicular ventricular tachycardia; Radiofrequency ablation; Right bundle branch block