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Multiple monomorphic ventricular tachycardias in a structurally normal heart: A case report  Daljeet Kaur Saggu, MD, DM, Mandar Shah, MD, DNB, Abhijeet.

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Presentation on theme: "Multiple monomorphic ventricular tachycardias in a structurally normal heart: A case report  Daljeet Kaur Saggu, MD, DM, Mandar Shah, MD, DNB, Abhijeet."— Presentation transcript:

1 Multiple monomorphic ventricular tachycardias in a structurally normal heart: A case report 
Daljeet Kaur Saggu, MD, DM, Mandar Shah, MD, DNB, Abhijeet Shelke, MD, DNB, Calambur Narasimhan, MD, DM  HeartRhythm Case Reports  Volume 1, Issue 3, Pages (May 2015) DOI: /j.hrcr Copyright © 2015 Heart Rhythm Society Terms and Conditions

2 Figure 1 Surface ECG of clinical ventricular tachycardia with right bundle branch block and left-axis morphology. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

3 Figure 2 Intracardiac echocardiographic long-axis image showing false tendon extending from septum toward posterior wall of left ventricle. Ablation catheter (gray arrows) is seen at the junction of the septum and false tendon. The false tendon is a single substrate with multiple exit sites, explaining the different morphologies of ventricular tachycardia having the same cycle length. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

4 Figure 3 Surface ECG leads I, aVF, V1, and V6 and intracardiac signals. Arrows indicate presystolic potentials during successful site of ablation of LBBB with right axis morphology VT. Ablation catheter is located at the site of septal attachment of the false tendon. LBBB = left bundle branch block; MAPD = mapping catheter distal; MAPP = mapping catheter proximal; VT = ventricular tachycardia. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

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