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Catheter Ablation of Ventricular Tachycardia Induced by Injection of Acetylcholine in the Right Coronary Artery
Authors:TAKANORI ARIMOTO M.D.  TETSU WATANABE M.D.  JOJI NITOBE M.D.  ISAO KUBOTA M.D.
Affiliation:Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Yamagata, Japan
Abstract:Ventricular Tachycardia Induced by Acetylcholine. We report the case of a patient who suffered from early morning nonsustained ventricular tachycardia. Clinical ventricular tachycardia without coronary spasm was reproducibly induced only by injection of acetylcholine in the right coronary artery. A good pace mapping site with 30 ms early ventricular activity was present in the right ventricular free wall. After radiofrequency ablation based on electroanatomical mapping, the tachycardia could no longer be induced by intracoronary injection of acetylcholine. (J Cardiovasc Electrophysiol, Vol. 21, pp. 1410‐1412, December 2010)
Keywords:acetylcholine  catheter ablation  right coronary artery  vagus  ventricular tachycardia
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