Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilation

Introduction: Bundle branch reentry as a mechanism of ventricular tachycardia (VT) in endomyocardial fibrosis (EMF) is not described. Case report: A 52-year-old woman with left ventricular (LV) EMF had VT needing cardioversion. She had mitral regurgitation and left bundle branch block, but no LV dil...

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Main Authors: Mukund A. Prabhu, B.V. Srinivas Prasad, Anees Thajudeen, Narayanan Namboodiri
Format: Article
Language:English
Published: Elsevier 2016-09-01
Series:Indian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483216000572
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author Mukund A. Prabhu
B.V. Srinivas Prasad
Anees Thajudeen
Narayanan Namboodiri
author_facet Mukund A. Prabhu
B.V. Srinivas Prasad
Anees Thajudeen
Narayanan Namboodiri
author_sort Mukund A. Prabhu
collection DOAJ
description Introduction: Bundle branch reentry as a mechanism of ventricular tachycardia (VT) in endomyocardial fibrosis (EMF) is not described. Case report: A 52-year-old woman with left ventricular (LV) EMF had VT needing cardioversion. She had mitral regurgitation and left bundle branch block, but no LV dilation or heart failure. During electrophysiological study, clinical VT could be easily induced, and it was confirmed to be bundle branch reentrant VT (BBRVT). She was treated with ablation of the right bundle branch. Conclusion: BBRVT can occur in EMF even without cardiac dilatation. Its recognition is important, as radiofrequency ablation can be curative.
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spelling doaj.art-87432dde0d1b400d98b8ffc52fcad8802022-12-21T21:21:25ZengElsevierIndian Heart Journal0019-48322016-09-0168S2S198S20110.1016/j.ihj.2016.02.005Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilationMukund A. Prabhu0B.V. Srinivas Prasad1Anees Thajudeen2Narayanan Namboodiri3Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum 695011, IndiaDepartment of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum 695011, IndiaDepartment of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum 695011, IndiaDepartment of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum 695011, IndiaIntroduction: Bundle branch reentry as a mechanism of ventricular tachycardia (VT) in endomyocardial fibrosis (EMF) is not described. Case report: A 52-year-old woman with left ventricular (LV) EMF had VT needing cardioversion. She had mitral regurgitation and left bundle branch block, but no LV dilation or heart failure. During electrophysiological study, clinical VT could be easily induced, and it was confirmed to be bundle branch reentrant VT (BBRVT). She was treated with ablation of the right bundle branch. Conclusion: BBRVT can occur in EMF even without cardiac dilatation. Its recognition is important, as radiofrequency ablation can be curative.http://www.sciencedirect.com/science/article/pii/S0019483216000572Endomyocardial fibrosisBundle branch reentryVentricular tachycardia
spellingShingle Mukund A. Prabhu
B.V. Srinivas Prasad
Anees Thajudeen
Narayanan Namboodiri
Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilation
Indian Heart Journal
Endomyocardial fibrosis
Bundle branch reentry
Ventricular tachycardia
title Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilation
title_full Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilation
title_fullStr Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilation
title_full_unstemmed Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilation
title_short Bundle branch reentry: A rare mechanism of ventricular tachycardia in endomyocardial fibrosis, without ventricular dilation
title_sort bundle branch reentry a rare mechanism of ventricular tachycardia in endomyocardial fibrosis without ventricular dilation
topic Endomyocardial fibrosis
Bundle branch reentry
Ventricular tachycardia
url http://www.sciencedirect.com/science/article/pii/S0019483216000572
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