Preview

Journal of Arrhythmology

Advanced search

Successful management of several types of fascicular ventricular tachycardias in an 1-year old girl using a combined pharmacological and invasive approach

https://doi.org/10.35336/VA-2020-3-53-57

Abstract

Idiopathic fascicular ventricular tachycardia (VT), which in most cases is sensitive to verapamil, is eliminated with high efficiency using radiofrequency ablation (RFA). In this case, we would like to demonstrate our experience of the effective use of catheter RFA in a 12-month-old child who suffered from frequent recurrent VT paroxysms accompanied by syncope.

About the Authors

M. R Dishekov
Morozovskaya Children’s City Hospital
Russian Federation

Murat Dishekov

Moscow



F. G. Rzaev
FSBEI HE «A.I.Evdokimov Moscow State University of Medicine and Dentistry» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Moscow


M. V. Gorev
FSBEI HE «A.I.Evdokimov Moscow State University of Medicine and Dentistry» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Moscow


Sh. G. Nardaya
I.V.Davidovsky Moscow City Hospital
Russian Federation
Moscow


S. O. Efremov
Morozovskaya Children’s City Hospital Moscow
Russian Federation
Moscow


M. A. Abramyan
Morozovskaya Children’s City Hospital Moscow
Russian Federation
Moscow


References

1. Zipes D, Foster P, Troup P. et al. Atrial induction of ventricular tachycardia: reentry versus triggered automaticity. Am J Cardiol. 1979;44(1): 1-8. DOI: 10.1016/0002- 9149(79)90242-x

2. Belhassen B, Rotmensch H, Laniado S. Response of recurrent sustained ventricular tachycardia to verapamil. Br Heart J. 1981;46(6): 679-682. DOI: 10.1136/hrt.46.6.679

3. Pfammatter J, Paul T. Idiopathic ventricular tachycardia in infancy and childhood: a multicenter study on clinical profile and outcome. Working Group on Dysrhythmias and Electrophysiology of the Association for European Pediatric Cardiology. J Am Coll Cardiol. 1999;33(7): 2067-2072. DOI: 10.1016/s0735-1097(99)00105-9

4. Koutbi L, Aldebert Ph, Fouilloux V, et al. Percutaneous catheter ablation of malignant, recurrent ventricular arrhythmia in a 10-month-old toddler. Heart Rhythm Case Reports. 2019;5(6): 299–303. DOI: 10.1016/j. hrcr.2019.02.011

5. Kapa S, Gaba P, V. DeSimone C, et al. Fascicular ventricular arrhythmias. Pathophysiologic mechanisms, anatomical constructs, and advances in approaches to management. Circulation: Arrhythmia and Electrophysiology. 2017; 10(1): e002476. DOI: 10.1161/CIRCEP.116.002476

6. Nogami A, Naito S, Tada H, et al. Demonstration of diastolic and presystolic Purkinje potentials as critical potentials in a macroreentry circuit of verapamil-sensitive idiopathic left ventricular tachycardia. J Am Coll Cardiol. 2000; 36(3): 811-23. DOI: 10.1016/s0735-1097(00)00780-4.


Review

For citations:


Dishekov M.R., Rzaev F.G., Gorev M.V., Nardaya Sh.G., Efremov S.O., Abramyan M.A. Successful management of several types of fascicular ventricular tachycardias in an 1-year old girl using a combined pharmacological and invasive approach. Journal of Arrhythmology. 2020;27(3):53-57. (In Russ.) https://doi.org/10.35336/VA-2020-3-53-57

Views: 491


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1561-8641 (Print)
ISSN 2658-7327 (Online)