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June 1, 2025Journal of Innovations in Cardiac Rhythm ManagementOpen Access

An electrophysiological study successfully diagnosed a rare case of simultaneous bidirectional ventricular tachycardia and atrial flutter in a patient with ischemic cardiomyopathy and severe mitral regurgitation.

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Why the study?

Bidirectional VT is a rare arrhythmia, and coexistence with AFL can complicate diagnosis.

Population

One 56-year-old man with ischemic heart disease and severe mitral regurgitation admitted with palpitations

Design

Case report

Key result

An electrophysiological study successfully diagnosed a rare case of simultaneous bidirectional ventricular tachycardia and atrial flutter in a patient with ischemic cardiomyopathy and severe mitral regurgitation.

Authors

AŞAhmet Taha ŞahinHKHasan KanASAhmet Lütfü Sertdemir

Discussion

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Overview

May aid recognition of dual tachycardia in ischemic disease; this case leaves open mechanistic and management questions.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 56-year-old man with ischemic heart disease, severe mitral regurgitation, and impaired left ventricular function who presented with palpitations and was diagnosed with simultaneous bidirectional ventricular tachycardia and atrial flutter.

This case highlights the rare coexistence of bidirectional ventricular tachycardia and atrial flutter in a patient with ischemic cardiomyopathy and severe mitral regurgitation.

Cite This Study

Şahin et al. (2025) conducted a case report in Dual tachycardia (bidirectional ventricular tachycardia and atrial flutter) (n=1). Electrophysiological study and surgical valve intervention was evaluated. An electrophysiological study successfully diagnosed a rare case of simultaneous bidirectional ventricular tachycardia and atrial flutter in a patient with ischemic cardiomyopathy and severe mitral regurgitation.

synapsesocial.com/papers/6a95c16e4d07ba843a1be80dhttps://doi.org/10.19102/icrm.2025.16061
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