nach oben

Journal of Interventional Cardiac Electrophysiology

Erschienen in:

28.08.2018

Bundle branch reentrant ventricular tachycardia: review and case presentation

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

Erschienen in: Journal of Interventional Cardiac Electrophysiology | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

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.

Guerot C, Valere PE, Castillo-Fenoy A, Tricot R. Tachycardia by branch-to-branch reentry. Arch Mal Coeur Vaiss. 1974;67(1):1–11.PubMed

Caceres J, Jazayeri M, McKinnie J, Avitall B, Denker ST, Tchou P, et al. Sustained bundle branch reentry as a mechanism of clinical tachycardia. Circulation. 1989;79(2):256–70.CrossRefPubMed

Delacretaz E, Stevenson WG, Ellison KE, Maisel WH, Friedman PL. Mapping and radiofrequency catheter ablation of the three types of sustained monomorphic ventricular tachycardia in nonischemic heart disease. J Cardiovasc Electrophysiol. 2000;11(1):11–7.CrossRefPubMed

Cantillon DJ, Bianco C, Wazni OM, Kanj M, Smedira NG, Wilkoff BL, et al. Electrophysiologic characteristics and catheter ablation of ventricular tachyarrhythmias among patients with heart failure on ventricular assist device support. Heart Rhythm. 2012;9(6):859–64. https://doi.org/10.1016/j.hrthm.2012.01.018.CrossRefPubMed

Merino JL, Peinado R, Fernandez-Lozano I, Lopez-Gil M, Arribas F, Ramirez LJ, et al. Bundle-branch reentry and the postpacing interval after entrainment by right ventricular apex stimulation: a new approach to elucidate the mechanism of wide-QRS-complex tachycardia with atrioventricular dissociation. Circulation. 2001;103(8):1102–8.CrossRefPubMed

Cohen TJ, Chien WW, Lurie KG, Young C, Goldberg HR, Wang YS, et al. Radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardia: results and long-term follow-up. J Am Coll Cardiol. 1991;18(7):1767–73.CrossRefPubMed

Blanck Z, Dhala A, Deshpande S, Sra J, Jazayeri M, Akhtar M. Bundle branch reentrant ventricular tachycardia: cumulative experience in 48 patients. J Cardiovasc Electrophysiol. 1993;4(3):253–62.CrossRefPubMed

Mehdirad AA, Keim S, Rist K, Tchou P. Long-term clinical outcome of right bundle branch radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardia. Pacing Clin Electrophysiol. 1995;18(12 Pt 1):2135–43.CrossRefPubMed

Olshansky B. Ventricular tachycardia masquerading as supraventricular tachycardia: a wolf in sheep's clothing. J Electrocardiol. 1988;21(4):377–84.CrossRefPubMed

10.

Guo H, Hecker S, Levy S, Olshansky B. Ventricular tachycardia with QRS configuration similar to that in sinus rhythm and a myocardial origin: differential diagnosis with bundle branch reentry. Europace. 2001;3(2):115–23. https://doi.org/10.1053/eupc.2001.0151.CrossRefPubMed

11.

Blanck Z, Jazayeri M, Akhtar M. Facilitation of sustained bundle branch reentry by atrial fibrillation. J Cardiovasc Electrophysiol. 1996;7(4):348–52.CrossRefPubMed

12.

Akhtar M, Denker S, Lehmann MH, Mahmud R. Macro-reentry within the His-Purkinje system. Pacing Clin Electrophysiol. 1983;6(5 Pt 2):1010–28.CrossRefPubMed

13.

Simons GR, Sorrentino RA, Zimerman LI, Wharton JM, Natale A. Bundle branch reentry tachycardia and possible sustained interfascicular reentry tachycardia with a shared unusual induction pattern. J Cardiovasc Electrophysiol. 1996;7(1):44–50.CrossRefPubMed

14.

Mizusawa Y, Sakurada H, Nishizaki M, Ueda-Tatsumoto A, Fukamizu S, Hiraoka M. Characteristics of bundle branch reentrant ventricular tachycardia with a right bundle branch block configuration: feasibility of atrial pacing. Europace. 2009;11(9):1208–13. https://doi.org/10.1093/europace/eup206.CrossRefPubMed

15.

Ruskin JN, Akhtar M, Damato AN, Foster JR. The effect of lidocaine on reentry within the his-Purkinje system in man. Circulation. 1980;62(2):388–400.CrossRefPubMed

16.

Tchou P, Mehdirad AA. Bundle branch reentry ventricular tachycardia. Pacing Clin Electrophysiol. 1995;18(7):1427–37.CrossRefPubMed

17.

Blanck Z, Akhtar M. Ventricular tachycardia due to sustained bundle branch reentry: diagnostic and therapeutic considerations. Clin Cardiol. 1993;16(8):619–22.CrossRefPubMed

18.

Li YG, Gronefeld G, Israel C, Bogun F, Hohnloser SH. Bundle branch reentrant tachycardia in patients with apparent normal his-Purkinje conduction: the role of functional conduction impairment. J Cardiovasc Electrophysiol. 2002;13(12):1233–9.CrossRefPubMed

19.

Tchou P, Jazayeri M, Denker S, Dongas J, Caceres J, Akhtar M. Transcatheter electrical ablation of right bundle branch. A method of treating macroreentrant ventricular tachycardia attributed to bundle branch reentry. Circulation. 1988;78(2):246–57.CrossRefPubMed

20.

Lopera G, Stevenson WG, Soejima K, Maisel WH, Koplan B, Sapp JL, et al. Identification and ablation of three types of ventricular tachycardia involving the his-purkinje system in patients with heart disease. J Cardiovasc Electrophysiol. 2004;15(1):52–8. https://doi.org/10.1046/j.1540-8167.2004.03189.x.CrossRefPubMed

21.

Blanck Z, Deshpande S, Jazayeri MR, Akhtar M. Catheter ablation of the left bundle branch for the treatment of sustained bundle branch reentrant ventricular tachycardia. J Cardiovasc Electrophysiol. 1995;6(1):40–3.CrossRefPubMed

Titel: Bundle branch reentrant ventricular tachycardia: review and case presentation
verfasst von: Jorge Romero
Pasquale Santangeli
Rajeev K. Pathak
Michael Grushko
David Briceno
Roberto Cerrud-Rodriguez
Renato Quispe
Vito Grupposo
Luigi Di Biase
Publikationsdatum: 28.08.2018
Verlag: Springer US
Erschienen in: Journal of Interventional Cardiac Electrophysiology / Ausgabe 3/2018
Print ISSN: 1383-875X
Elektronische ISSN: 1572-8595
DOI: https://doi.org/10.1007/s10840-018-0434-z

Neu im Fachgebiet Kardiologie

23.04.2024 | Ablationstherapie | Nachrichten

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Bundle branch reentrant ventricular tachycardia: review and case presentation

Abstract

Neu im Fachgebiet Kardiologie

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

Europäische Ernährungsgewohnheiten: Das sind die häufigsten Fehler

Parodontalbehandlung verbessert Prognose bei Katheterablation

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Update Kardiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2018

Remembering Dr. Agustin Castellanos—1927–2017

Cardiac automaticity: basic concepts and clinical observations

Atrial fibrillation and conduction system disease: the roles of catheter ablation and permanent pacing

Intra- and interatrial conduction abnormalities: hemodynamic and arrhythmic significance

The effects of septal myectomy and alcohol septal ablation for hypertrophic cardiomyopathy on the cardiac conduction system

Agustin (“Tino”) Castellanos Jr. (1927–2017): The Journal Editors honor the grand legacy of a gentleman and a scholar

Neu im Fachgebiet Kardiologie

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

Europäische Ernährungsgewohnheiten: Das sind die häufigsten Fehler

Parodontalbehandlung verbessert Prognose bei Katheterablation

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Update Kardiologie