Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Intramural Reentrant Ventricular Tachycardia in a Patient with Severe Hypertensive Left Ventricular Hypertrophy

  • Lin, Chin-Yu (Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital) ;
  • Chung, Fa-Po (Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital) ;
  • Lin, Yenn-Jiang (Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital) ;
  • Chen, Shih-Ann (Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital)
  • Received : 2014.10.10
  • Accepted : 2015.03.17
  • Published : 2015.11.30
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Abstract

We describe the case of a patient with severe hypertensive left ventricular hypertrophy and sustained hemodynamically unstable ventricular tachycardia (VT). Entrainment was demonstrated in the electrophysiological study. Activation mapping and pacemapping identified the location of the intramural reentrant VT with the exit site close to the epicardium. However, VT persisted after ablation at the epicardial exit site. Successful ablation was performed endocardially at the corresponding position.

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References

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