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Bundle Branch Reentry Ventricular Tachycardia:
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.
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
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.
Keywords:ventricular tachycardia    bundle branch reentry    catheter ablation
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