Intravenous verapamil is effective for the acute termination of idiopathic left ventricular tachycardia.
May support verapamil for acute termination of idiopathic LV tachycardia; leaves open need for controlled trials.
Introduction: The objective of this case report is to illustrate a case of idiopathic left ventricular tachycardia (ILVT). It is important to distinguish key features to differentiate ILVT from other types of ventricular tachycardias. Clinical picture: A 33-year-old male presented with palpitations. Clinical examination was unremarkable, except a heart rate of 170 beats/min. ECG showed a right bundle branch morphology, left superior frontal plane and a relatively narrow QRS duration. A diagnosis of ILVT was made. Treatment: Intravenous verapamil was given and the ILVT was terminated. Conclusion: ILVT differs from other types of VT, such as right ventricular outflow tract (RVOT), in terms of mechanisms, site of origin and management. Overall, ILVT has a good prognosis, compared to VTs seen in ischaemic cardiomyopathy.
No takes yet. Share an insight, caveat, or question.
Hamid et al. (2011) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: