Recurrent idiopathic polymorphic ventricular tachycardia/ventricular fibrillation successfully treated by cardiac sympathetic denervation Faisal Matto,

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Presentation transcript:

Recurrent idiopathic polymorphic ventricular tachycardia/ventricular fibrillation successfully treated by cardiac sympathetic denervation Faisal Matto, MD, Kalpaj R. Parekh, MBBS, Michael C. Giudici, MD, FHRS, Alexander Mazur, MD HeartRhythm Case Reports Volume 5, Issue 4, Pages 229-232 (April 2019) DOI: 10.1016/j.hrcr.2019.01.005 Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 1 A: Twelve-lead electrocardiogram (ECG) shows frequent short-coupled ventricular ectopy with left bundle branch block/superior axis morphology consistent with a right ventricular inflow tract origin. B: Twelve lead ECG shows an episode of polymorphic ventricular tachycardia triggered by a short-coupled premature ventricular depolarization. It is important to note that the triggering premature ventricular depolarizations are consistently of the same morphology: left bundle branch block/superior axis. HeartRhythm Case Reports 2019 5, 229-232DOI: (10.1016/j.hrcr.2019.01.005) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 2 An example of stored implantable cardioverter-defibrillator (ICD) electrogram demonstrating polymorphic ventricular tachycardia triggered by a short-coupled premature ventricular depolarization. The tachycardia degenerated to ventricular fibrillation and was subsequently terminated by an ICD shock. HeartRhythm Case Reports 2019 5, 229-232DOI: (10.1016/j.hrcr.2019.01.005) Copyright © 2019 Heart Rhythm Society Terms and Conditions

Figure 3 Twelve-lead electrocardiogram shows no abnormalities known to be associated with arrhythmogenic syndromes. HeartRhythm Case Reports 2019 5, 229-232DOI: (10.1016/j.hrcr.2019.01.005) Copyright © 2019 Heart Rhythm Society Terms and Conditions