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Two Cases of Ventricular Parasystole Associated with Ventricular Tachycardia
Authors:EIICHI ITOH  YOSHIFUSA AIZAWA  TAKASHI WASHIZUKA  HIROHIDE UCHIYAMA  HITOSHI KITAZAWA  YORIKO KUSANO  NAOKI NAITOH  AKIRA SHIBATA
Affiliation:First Department of Internal Medicine, Niigata University School of Medicine, Niigata, Japan
Abstract:
In two patients, ventricular pamsystole (VP) was associated with ventricular tachycardia (VT), and in one patient, catheter ablation was successful. In patient 1, with dilated cardiomyopathy, VP led to VT, which converted to ventricular fibrillation. In patient 2, VP led to symptomatic nonsustained polymorphic VT. The origin of parasystolic focus was determined byendocardial mapping, and a radiofrequency current was delivered to patient 2. Both VP and VT disappeared immediately, and no recurrence has been observed during a follow-up of 8 months. Catheter ablation to the parasystolic focus was effective and a relationship between VP and VT was strongly suggested.
Keywords:parasystole    ventricular tachycardia    catheter ablation    radiofrequency
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