Cairo SG, Moya MCJ, Escalante CAJ

Language: Spanish
References: 6
Page: 412-416
PDF size: 321.24 Kb.

ABSTRACT

Idiopathic fascicular ventricular tachycardia is rare. It usually occurs in young patients or children. We present the case of a 57 years old female patient with no previous cardiovascular disease. The patient started having a sudden installation tachycardia and right bundle branch block with axis deviation to the left, which responded to the administration of verapamil. Posterior idiopathic fascicular ventricular tachycardia was diagnosed. The main interest in this case is the disease onset age which demonstrates the need for a high index of suspicion when electrocardiographic pattern is presented, regardless of patient age.

REFERENCES

1. Martins JB, Constatin L, Kienzle MG, Brownstein SL, Hopson JR. Mechanism of ventricular tachycardia unassociated with coronary artery disease. En: Zapes Dl, Jalife J, eds. Cardiac electrophisiology. From cell to bedside. Philadelphia: W.B. Saunders; 1990.

2. Toulbou P, Claveyrolas R, Huerta F, Porte J, Delahaye JP. Ventricular tachycardia due to premature supraventricular beats with a normal QRS complex. Analysis of a case. Arch Mal Coer. 1975;68(9):969–76.

3. Castro Hevia J, Dorticós Balea F, Zayas Molina R, Dorantes Sánchez M, Rodríguez Marture F. Taquicardia ventricular fascicular izquierda. Reporte de 2 casos. Rev Cubana Cardiol Cir Cardiovasc. 1998;12(1):13–9.

4. Martínez García G, Sánchez Torres N, Suárez Rivero A, Álvarez Tamayo R. Taquicardia ventricular fascicular posterior izquierda en corazón estructuralmente normal. Rev Cubana Cardiol Cir Cardiovasc. 2011;17(4):371.

5. Kosydar-Piechna M. Antipsychotic drugs and QT interval. Forum Medycyny Rodzinnej. 2010;4(3):194–203.

6. Strachan EM, Kelly CA, Bateman DN. Electrocardiogram and cardiovascular changes in thioridazine and chlorpromazine poisoning. Eur J Clin Pharmacol. 2004;60(8):541–5.