Infra-His Bundle Origin of Bidirectional Tachyeardia
نویسنده
چکیده
A case of bidirectional tachycardia is presented in a patient with cardiomyopathy, pulmonary emboli, and digitalis toxicity. The arrhythmia has usually been considered ventricular in origin. A supraventricular origin has also been suggested. Simultaneous recordings of standard electrocardiographic leads and His bundle potentials demonstrated that the abnormal rhythm originated in the left ventricle and indeed was a bidirecti;nal ventricular tachycardia. Enhanced phase 4 depolarization in the divisions of the left bundle branch is advanced as a theoretic underlying mechanism in some instances of this arrhythmia.
منابع مشابه
Infra-His bundle origin of bidirectional tachycardia.
A case of bidirectional tachycardia is presented in a patient with cardiomyopathy, pulmonary emboli, and digitalis toxicity. The arrhythmia has usually been considered ventricular in origin. A supraventricular origin has also been suggested. Simultaneous recordings of standard electrocardiographic leads and His bundle potentials demonstrated that the abnormal rhythm originated in the left ventr...
متن کاملHis bundle electrocardiography during bidirectional tachycardia.
His bundle electrocardiography in a patient with a digitalis-induced bidirectional tachycardia revealed absence of His spike preceding earliest onset of ventricular activation during the bidirectional tachycardia. However, His potential preceded ventricular activation of normal complexes at a constant H-V interval of 35 msec. The presence of fusion QRS complexes, capture QRS complexes, the anal...
متن کاملSupraventricular origin of bidirectional tachycardia. Report of a case.
We have confirmed a supraventricular origin of bidirectional tachycardia with simultaneous standard electrocardiograms and a His bundle electrogram. The patient had sinus rhythm, variable trifascicular block and atrioventricular block below the His bundle. Ventricular excitation varied among three patterns which included right bundle branch block with right axis deviation (RBBB-RAD), right bund...
متن کاملHis Bundle Electrocardiography during Bidirectional Tachycardia By STEPHEN N . MORRIS , M . D . , AND DOUGLAS
His bundle electrocardiography in a patient with a digitalis-induced bidirectional tachycardia revealed absence of His spike preceding earliest onset of ventricular activation during the bidirectional tachycardia. However, His potential preceded ventricular activation of normal complexes at a constant H-V interval of 35 msec. The presence of fusion QRS complexes, capture QRS complexes, the anal...
متن کاملHis Bundle Electrocardiography during Bidirectional Tachycardia By STEPHEN
His bundle electrocardiography in a patient with a digitalis-induced bidirectional tachycardia revealed absence of His spike preceding earliest onset of ventricular activation during the bidirectional tachycardia. However, His potential preceded ventricular activation of normal complexes at a constant H-V interval of 35 msec. The presence of fusion QRS complexes, capture QRS complexes, the anal...
متن کامل