Journal of Electrocardiology
Volume 43, Issue 5 , Pages 452-458 , September 2010

Pleomorphic ventricular tachycardia originating from Purkinje fiber network of left anterior fascicle

  • Hisashi Yokoshiki, MD, PhD

      Affiliations

    • Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
    • Corresponding Author InformationCorresponding author. Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo 060-8638, Japan.
    • ,
  • Hirofumi Mitsuyama, MD

      Affiliations

    • Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
    • ,
  • Masaya Watanabe, MD

      Affiliations

    • Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
    • ,
  • Masayuki Sakurai, MD, PhD

      Affiliations

    • Department of Cardiovascular Medicine, Hokko Memorial Hospital, Sapporo, Japan
    • ,
  • Hiroyuki Tsutsui, MD, PhD

      Affiliations

    • Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan

Received 15 October 2009

References 

  1. Sakurai M, Nishiono T, Yoshida I, Kato N, Yasuda H. Mechanisms of chronic recurrent idiopathic ventricular tachycardia. Jpn Circ J. 1988;52:272
  2. Okumura K, Matsuyama K, Miyagi H, Tsuchiya T, Yasue H. Entrainment of idiopathic ventricular tachycardia of left ventricular origin with evidence for reentry with an area of slow conduction and effect of verapamil. Am J Cardiol. 1988;62:727
  3. 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;36:811
  4. Tsuchiya T, Okumura K, Honda T, et al. Significance of late diastolic potential preceding Purkinje potential in verapamil-sensitive idiopathic left ventricular tachycardia. Circulation. 1999;99:2408
  5. Ouyang F, Cappato R, Ernst S, et al. Electroanatomic substrate of idiopathic left ventricular tachycardia: unidirectional block and macroreentry within the Purkinje network. Circulation. 2002;105:462
  6. Nogami A, Naito S, Tada H, et al. Verapamil-sensitive left anterior fascicular ventricular tachycardia: results of radiofrequency ablation in six patients. J Cardiovasc Electrophysiol. 1998;9:1269
  7. Yoshida I, Yokoshiki H, Sakurai M. Successful catheter ablation of idiopathic ventricular tachycardia presenting complete right bundle branch block and left axis deviation with a single low energy direct current. Jpn J Cardiac Pacing Electrophysiol. 1992;8:347
  8. Sato M, Sakurai M, Yotsukura A, et al. Diastolic potentials in verapamil-sensitive ventricular tachycardia: true potentials or bystanders of the reentry circuits?. Am Heart J. 1999;138:560
  9. Aliot EM, Stevenson WG, Almendral-Garrote JM, et al. EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias: developed in a partnership with the European Heart Rhythm Association (EHRA), a Registered Branch of the European Society of Cardiology (ESC), and the Heart Rhythm Society (HRS); in collaboration with the American College of Cardiology (ACC) and the American Heart Association (AHA). Europace. 2009;11:771
  10. Pertsov AM, Davidenko JM, Salomonsz R, et al. Spiral waves of excitation underlie reentrant activity in isolated cardiac muscle. Circ Res. 1993;72:631
  11. Davidenko JM. Spiral wave activity: a possible common mechanism for polymorphic and monomorphic ventricular tachycardias. J Cardiovasc Electrophysiol. 1993;4:730
  12. Valderrábano M, Chen PS, Lin SF. Spatial distribution of phase singularities in ventricular fibrillation. Circulation. 2003;108:354
  13. Morishima I, Nogami A, Tsuboi H, Sone T. Verapamil-sensitive left anterior fascicular ventricular tachycardia associated with a healed myocardial infarction: changes in the delayed Purkinje potential during sinus rhythm. J Interv Card Electrophysiol. 2008;22:233

PII: S0022-0736(09)00626-8

doi: 10.1016/j.jelectrocard.2009.12.007

Journal of Electrocardiology
Volume 43, Issue 5 , Pages 452-458 , September 2010

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