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False Tendon‐Related Polymorphic Ventricular Tachycardia
Authors:TETSUO BETSUYAKU MD  PhD  HARUTATSU MUTO MD  EITARO SUGIYAMA MD  AKIHO MINOSHIMA MD  MINORU SATO MD  PhD
Institution:Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center, Sapporo, Japan
Abstract:A 39‐year‐old woman showed nonsustained polymorphic ventricular tachycardia (PVT) during light physical activity. Cardiac multidetector row computed tomography demonstrated false tendons, one of which proved to be the focus triggering premature ventricular contraction (PVC) in electrophysiological studies. The triggered PVC arose during the diastolic period, which might have caused tension in the false tendon. Radiofrequency catheter ablation targeting the triggered PVC by pace mapping was performed and proved partially effective against PVT. (PACE 2012;35:e341–e344)
Keywords:polymorphic ventricular tachycardia  false tendon  triggered activity  stretch
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