Bundle Branch Reentry Ventricular Tachycardia: |
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Authors: | BRIAN H. SARTER M.D. DAVID SCHWARTZMAN M.D. DAVID J. CALLANS M.D. CHARLES D. GOTTLIEB M.D. FRANCIS E. MARCHLINSKI M.D. |
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Affiliation: | Philadelphia Heart Institute, the Sidney Kimmel Research Center and the Clinical Electrophysiology Laboratory, Division of Cardiology, Medical College of Pennsylvania-Hahneman University School of Medicine, Philadelphia, Pennsylvania |
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Abstract: | Bundle Branch Reentry VT. We describe a patient with bundle branch reentry ventricular tachycardia with 1:1 VA conduction in whom resetting was performed while obtaining simultaneous recordings from the right ventricular apex (V) and His-bundle electrogram. Both the tachycardia return cycle and the V-His interval demonstrated an increasing reset response, while the His-V interval demonstrated a flat reset response. These reset responses are consistent with a partially excitable gap localizing to the V-His portion of the bundle branch reentry circuit. |
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Keywords: | ventricular tachycardia bundle branch reentry catheter ablation |
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