Ventricular tachycardia with left bundle branch block morphology in the absence of ischaemic heart disease--clinical and electrophysiological observations.

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dc.contributor.authorBhargava, Men_US
dc.contributor.authorSethi, K Ken_US
dc.contributor.authorMurthy, G Sen_US
dc.contributor.authorGambhir, D Sen_US
dc.contributor.authorKalra, G Sen_US
dc.contributor.authorMohan, J Cen_US
dc.contributor.authorArora, Ren_US
dc.contributor.authorKhalilullah, Men_US
dc.date.accessioned1994-11-01en_US
dc.date.accessioned2009-05-27T04:26:20Z
dc.date.available1994-11-01en_US
dc.date.available2009-05-27T04:26:20Z
dc.date.issued1994-11-01en_US
dc.description.abstractClinical and electrophysiological features of 20 patients presenting with ventricular tachycardia (VT) of left bundle branch block (LBBB) morphology without evidence of coronary artery disease were studied. The mean age of the patients was 35.2 +/- 12 (range 15-57 years). The rate of VT varied between 140-240/min (182 +/- 80). Six (30%) patients experienced giddiness or syncope during palpitations. Structural heart disease was found in 10 (50%) of these patients, which included arrhythmogenic right ventricular dysplasia in five, submitral left ventricular (LV) aneurysm in one, anterolateral LV dyskinesis in one, dilated cardiomyopathy in one, endomyocardial fibrosis in one and nonobstructive hypertrophic cardiomyopathy in one case. Ten patients were free of structural heart disease. Electrophysiological study was done in all patients. VT with same morphology as spontaneous VT was inducible in only 14 patients. Seventeen patients were treated medically with total or partial amelioration of symptoms. In three patients, two with arrhythmogenic right ventricular dysplasia and one with structurally normal heart, who were unresponsive to drug therapy, the VT focus could be mapped in right ventricular outflow tract and successful electrical ablation was done. Thus in patients who present with VT with LBBB morphology, the heart is often structurally normal but organic disease is not uncommon, and should be carefully searched.en_US
dc.description.affiliationDepartment of Cardiology, G B Pant Hospital, New Delhi.en_US
dc.identifier.citationBhargava M, Sethi KK, Murthy GS, Gambhir DS, Kalra GS, Mohan JC, Arora R, Khalilullah M. Ventricular tachycardia with left bundle branch block morphology in the absence of ischaemic heart disease--clinical and electrophysiological observations. Indian Heart Journal. 1994 Nov-Dec; 46(6): 287-90en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/5201
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAdulten_US
dc.subject.meshBundle-Branch Block --diagnosisen_US
dc.subject.meshCardiac Pacing, Artificialen_US
dc.subject.meshCoronary Angiographyen_US
dc.subject.meshCoronary Diseaseen_US
dc.subject.meshElectrocardiographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart Catheterizationen_US
dc.subject.meshHeart Diseases --complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshPrevalenceen_US
dc.subject.meshTachycardia, Ventricular --diagnosisen_US
dc.titleVentricular tachycardia with left bundle branch block morphology in the absence of ischaemic heart disease--clinical and electrophysiological observations.en_US
dc.typeJournal Articleen_US
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