ENTRAINMENT OF VENTRICULAR-TACHYCARDIA IN ARRHYTHMOGENIC RIGHT VENTRICULAR-TACHYCARDIA

被引:14
作者
AIZAWA, Y [1 ]
FUNAZAKI, T [1 ]
TAKAHASHI, M [1 ]
NAITOH, N [1 ]
MIYAJIMA, T [1 ]
KUSANO, Y [1 ]
SHIBATA, A [1 ]
MISAKI, T [1 ]
机构
[1] KANAZAWA UNIV,DEPT SURG,KANAZAWA,ISHIKAWA 920,JAPAN
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1991年 / 14卷 / 11期
关键词
ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA; VENTRICULAR TACHYCARDIA; TRANSIENT ENTRAINMENT; REENTRY;
D O I
10.1111/j.1540-8159.1991.tb02736.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In two patients with arrhythmogenic right ventricular dysplasia (ARVD), sustained ventricular tachycardia (VT) was induced by programmed stimulations during serial drug testings. One patient had five and the other had two VT morphologies, and the sites of origin were determined by endocardial catheter mappings. When overdrive pacing was performed, constant fusion in the QRS complex was observed in the two patients. Constant fusion of a different degree was also observed at different paced cycle lengths. Both patients had dilated right ventricles and wall-motion abnormality, and the diagnosis of ARVD was further confirmed by the specimen resected at the site of origin of VT. Therefore, VT in ARVD can be entrained and reentry is the most likely mechanism of such VT.
引用
收藏
页码:1606 / 1613
页数:8
相关论文
共 34 条
[31]   DEMONSTRATION OF THE MECHANISM OF TRANSIENT ENTRAINMENT AND INTERRUPTION OF VENTRICULAR-TACHYCARDIA WITH RAPID ATRIAL-PACING [J].
WALDO, AL ;
HENTHORN, RW ;
PLUMB, VJ ;
MACLEAN, WAH .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1984, 3 (02) :422-430
[32]   LEFT-VENTRICULAR ABNORMALITIES IN ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA [J].
WEBB, JG ;
KERR, CR ;
HUCKELL, VF ;
MIZGALA, HF ;
RICCI, DR .
AMERICAN JOURNAL OF CARDIOLOGY, 1986, 58 (06) :568-570
[33]  
WELLENS HJJ, 1972, AM HEART J, V106, P216
[34]   TRIGGERED ACTIVITY IN CARDIAC-MUSCLE FIBERS OF SIMIAN MITRAL-VALVE [J].
WIT, AL ;
CRANEFIELD, PF .
CIRCULATION RESEARCH, 1976, 38 (02) :85-98