In memory of tachycardia: A wide complex tachycardia in a young male. Issue 4 (18th June 2020)

• Record Type: Journal Article
• Authors: Siroky, Gregory P.; Keller, Seth; Suri, Ranjit
• Is Part Of: Journal of arrhythmia. Volume 36:Issue 4(2020)
• Page Start: 801
• Page End: 803
• Publication Date: 2020-06-18
• Subjects: cardiac memory -- catheter ablation -- fascicular ventricular tachycardia; Arrhythmia -- Periodicals; Cardiac pacing -- Periodicals; Arrhythmias, Cardiac; Arrhythmia; Cardiac pacing; Periodicals; Electronic journals; Periodicals; 616.128
• DOI: 10.1002/joa3.12385
• Languages: English
• ISSNs: 1880-4276

Abstract

Abstract: We present a case of a 24‐year‐old male with palpitations and a wide complex tachycardia. Baseline electrocardiogram (ECG) after termination of tachycardia demonstrates a normal rhythm but with inferior/anterolateral T‐wave inversions (TWIs). Electrophysiologic study confirmed the diagnosis of posterior fascicular ventricular tachycardia successfully terminated by anatomic ablation of the left posterior fascicle. TWIs on the patient's baseline ECG were consistent with cardiac memory. Abstract : Twenty‐four‐year‐old male presents with palpitations and wide complex tachycardia on ECG. Baseline ECG after termination of tachycardia demonstrates a normal rhythm but with inferior/anterolateral T‐wave inversions (TWIs). Electrophysiologic study confirms the diagnosis of posterior fascicular ventricular tachycardia with successful anatomic ablation of the left posterior fascicle. TWIs were consistent with cardiac memory.