Bundle branch reentrant ventricular tachycardia: review and case presentation

Jorge Romero; Pasquale Santangeli; Rajeev Pathak; Michael Grushko; David Briceno; Roberto Cerrud-Rodriguez; Renato Quispe; Vito Grupposo; Luigi Di Biase

doi:10.1007/s10840-018-0434-z

Bundle branch reentrant ventricular tachycardia: review and case presentation

Jorge Romero, Pasquale Santangeli, Rajeev Pathak, Michael Grushko, David Briceno, Roberto Cerrud-Rodriguez, Renato Quispe, Vito Grupposo, Luigi Di Biase

Research output: Contribution to journal › Article › peer-review

Abstract

Bundle branch reentrant ventricular tachycardia (BBRVT) is characterized by a unique, fast (200-300 beats/min), monomorphic wide complex tachycardia (WCT) associated with syncope, hemodynamic compromise, and cardiac arrest. It is challenging to diagnose, requiring a His bundle recording and specific pacing maneuvers. The overall incidence has been reported to be up to 20% among patients with non-ischemic cardiomyopathy (NICM) undergoing electrophysiologic studies. We report a case of BBRVT in a patient with ischemic cardiomyopathy (ICM) presenting as a WCT with recurrent implantable-cardioverter-defibrillator (ICD) shocks. We describe all the characteristic features of BBRVT and discuss its differential. We also discuss the role of ablation for this condition.

Original language	English
Pages (from-to)	385-393pp
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	52
Issue number	3
DOIs	https://doi.org/10.1007/s10840-018-0434-z
Publication status	Published - 2018

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title = "Bundle branch reentrant ventricular tachycardia: review and case presentation",

abstract = "Bundle branch reentrant ventricular tachycardia (BBRVT) is characterized by a unique, fast (200-300 beats/min), monomorphic wide complex tachycardia (WCT) associated with syncope, hemodynamic compromise, and cardiac arrest. It is challenging to diagnose, requiring a His bundle recording and specific pacing maneuvers. The overall incidence has been reported to be up to 20% among patients with non-ischemic cardiomyopathy (NICM) undergoing electrophysiologic studies. We report a case of BBRVT in a patient with ischemic cardiomyopathy (ICM) presenting as a WCT with recurrent implantable-cardioverter-defibrillator (ICD) shocks. We describe all the characteristic features of BBRVT and discuss its differential. We also discuss the role of ablation for this condition.",

author = "Jorge Romero and Pasquale Santangeli and Rajeev Pathak and Michael Grushko and David Briceno and Roberto Cerrud-Rodriguez and Renato Quispe and Vito Grupposo and {Di Biase}, Luigi",

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doi = "10.1007/s10840-018-0434-z",

language = "English",

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pages = "385--393pp",

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T1 - Bundle branch reentrant ventricular tachycardia: review and case presentation

AU - Romero, Jorge

AU - Santangeli, Pasquale

AU - Pathak, Rajeev

AU - Grushko, Michael

AU - Briceno, David

AU - Cerrud-Rodriguez, Roberto

AU - Quispe, Renato

AU - Grupposo, Vito

AU - Di Biase, Luigi

PY - 2018

Y1 - 2018

N2 - Bundle branch reentrant ventricular tachycardia (BBRVT) is characterized by a unique, fast (200-300 beats/min), monomorphic wide complex tachycardia (WCT) associated with syncope, hemodynamic compromise, and cardiac arrest. It is challenging to diagnose, requiring a His bundle recording and specific pacing maneuvers. The overall incidence has been reported to be up to 20% among patients with non-ischemic cardiomyopathy (NICM) undergoing electrophysiologic studies. We report a case of BBRVT in a patient with ischemic cardiomyopathy (ICM) presenting as a WCT with recurrent implantable-cardioverter-defibrillator (ICD) shocks. We describe all the characteristic features of BBRVT and discuss its differential. We also discuss the role of ablation for this condition.

AB - Bundle branch reentrant ventricular tachycardia (BBRVT) is characterized by a unique, fast (200-300 beats/min), monomorphic wide complex tachycardia (WCT) associated with syncope, hemodynamic compromise, and cardiac arrest. It is challenging to diagnose, requiring a His bundle recording and specific pacing maneuvers. The overall incidence has been reported to be up to 20% among patients with non-ischemic cardiomyopathy (NICM) undergoing electrophysiologic studies. We report a case of BBRVT in a patient with ischemic cardiomyopathy (ICM) presenting as a WCT with recurrent implantable-cardioverter-defibrillator (ICD) shocks. We describe all the characteristic features of BBRVT and discuss its differential. We also discuss the role of ablation for this condition.

U2 - 10.1007/s10840-018-0434-z

DO - 10.1007/s10840-018-0434-z

M3 - Article

VL - 52

SP - 385

EP - 393

JO - Journal of Interventional Cardiac Electrophysiology

JF - Journal of Interventional Cardiac Electrophysiology

IS - 3

ER -

Bundle branch reentrant ventricular tachycardia: review and case presentation

Abstract

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