Emmel, Mathias, Sreeram, Nayaranswami, Khalil, Markus, Adelmann, Roland and Brockmeier, Konrad (2011). Ablation strategies in a patient with Belhassen tachycardia. J. Electrocardiol., 44 (6). S. 802 - 806. PHILADELPHIA: CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS. ISSN 0022-0736
Full text not available from this repository.Abstract
The verapamil-sensitive Belhassen tachycardia is a ventricular reentrant tachycardia, involving left-sided Purkinje fibers and abnormal Purkinje or myocardial tissue. Ablation is feasible, targeting a diastolic fascicular potential in the apical left ventricle. Case report: We report on a 13-year-old girl with left posterior fascicular ventricular tachycardia. Tachycardia stopped during ablation, targeting a left-sided distal fascicular potential, and afterward, there was no tachycardia inducible, but it reoccurred 2 weeks later. During a second procedure, we transected the left posterior fascicle by a line, also with early success. After a further recurrence, we ablated a longer proximal segment of the left posterior fascicle including its most proximal electrograms. After this ablation, there was no further recurrence. Conclusion: In refractory patients, proximal ablation of the posterior fascicle might be indicated. (C) 2011 Elsevier Inc. All rights reserved.
Item Type: | Journal Article | ||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-486147 | ||||||||||||||||||||||||
DOI: | 10.1016/j.jelectrocard.2011.02.003 | ||||||||||||||||||||||||
Journal or Publication Title: | J. Electrocardiol. | ||||||||||||||||||||||||
Volume: | 44 | ||||||||||||||||||||||||
Number: | 6 | ||||||||||||||||||||||||
Page Range: | S. 802 - 806 | ||||||||||||||||||||||||
Date: | 2011 | ||||||||||||||||||||||||
Publisher: | CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS | ||||||||||||||||||||||||
Place of Publication: | PHILADELPHIA | ||||||||||||||||||||||||
ISSN: | 0022-0736 | ||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/48614 |
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