In memory of tachycardia: A wide complex tachycardia in a young male

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 poste...

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Bibliographic Details
Published in:Journal of arrhythmia 2020-08, Vol.36 (4), p.801-803
Main Authors: Siroky, Gregory P., Keller, Seth, Suri, Ranjit
Format: Article
Language:English
Subjects:
Ablation
Cardiac arrhythmia
cardiac memory
catheter ablation
Catheters
Diagnosis
ECG for Students & Assoc. Professionals
Electrocardiogram
Electrocardiography
fascicular ventricular tachycardia
Ischemia
Tachycardia
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Summary: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. 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.
ISSN:1880-4276
1883-2148
DOI:10.1002/joa3.12385