Belhassen Syndrome in Teenager Originating from Left Anterior Fascicle
Keywords:
Arrhythmia, Ventricular tachycardia, Radiofrequency ablationAbstract
A 16-year-old female patient was hospitalized due to narrow QRS tachycardia suggestive of fascicular ventricular tachycardia. Initially, the differential diagnosis with supraventricular tachycardia can be challenging. The tachyarrhythmia is well controlled with medication, but electrophysiological study and ablation may be necessary in patients who remain symptomatic.
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References
Kapa S, Gaba P, Desimone CV, Asirvatham SJ. Fascicular Ventricular Arrhythmias: Pathophysiologic Mechanisms, Anatomical Constructs, and Advances in Approaches to Management. Circ Arrhythmia Electrophysiol. 2017;10(1). https://doi.org/10.1161/CIRCEP.116.002476.
Salim SFABS, Jamal SM. Belhassen ventricular tachycardia - a diagnostic challenge in emergency room: case report. Malays J Emerg Med. 2018;3(1). Disponível em: URL: http://www.m-jem.com/index.php/mjem/article/view/23.
Hoffmayer KS, Gerstenfeld EP. Diagnosis and Management of Idiopathic Ventricular Tachycardia. Curr Probl Cardiol. 2013;38:131–58. https://doi.org/10.1016/j.cpcardiol.2013.02.002.
Suzuki T, Nakamura Y, Yoshida S, Yoshida Y, Nakamura K, Sasaki T, et al. Radiofrequency catheter ablation of idiopathic left anterior fascicular ventricular tachycardia in children. Heart Rhythm. 2014;11:1948–56. https://doi.org/10.1016/j.hrthm.2014.06.024.
Andrade FR, Eslami M, Elias J, Kinoshita O, Nakazato Y, Marcus FI, et al. Diagnostic clues from the surface ECG to identify idiopathic (fascicular) ventricular tachycardia: Correlation with electrophysiologic findings. J Cardiovasc Electrophysiol. 1996;7:2–8. https://doi.org/10.1111/j.1540-8167.1996.tb00454.x.
Johnson F, Venugopal K, Khadar SA, Sudhayakumar N, Gupta AK. Idiopathic fascicular ventricular tachycardia. Indian Pacing Electrophysiol J. 2004;4:98–103. Disponível em: URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1501077/
Ohe T, Shimomura K, Aihara N, Kamakura S, Matsuhisa M, Sato I, et al. Idiopathic sustained left ventricular tachycardia: Clinical and electrophysiologic characteristics. Circulation. 1988;77:560–8. https://doi.org/10.1161/01.CIR.77.3.560.
Ward DE, Nathan AW, Camm AJ. Fascicular tachycardia sensitive to calcium antagonists. Eur Heart J. 1984;5:896–905. https://doi.org/10.1093/oxfordjournals.eurheartj.a061589.
Eynon CA, Howe L, Firoozan S. Fascicular tachycardia: uncommon or just unrecognized? Emerg Med J. 2002;19(5):477-478. https://doi.org/10.1136/emj.19.5.477.
Ramprakash B, Jaishankar S, Rao HB, Narasimhan C. Catheter ablation of fascicular ventricular tachycardia. Indian Pacing Electrophysiol J. 2008. Disponível em: URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2490803/.
Nogami A. Idiopathic left ventricular tachycardia: Assessment and treatment. Card Electrophysiol Rev. 2002. https://doi.org/10.1023/A:1021100828459.
Schreiber D, Kottkamp H. Ablation of idiopathic ventricular tachycardia. Curr Cardiol Rep. 2010. https://doi.org/10.1007/s11886-010-0121-x.