Key result
Radiofrequency ablation successfully treats drug-refractory idiopathic left ventricular tachycardia in an 18-year-old.
Case Report (n=1)
This case report describes the presentation and management of left idiopathic ventricular tachycardia amenable to radiofrequency ablation in a young adult.
May guide differential diagnosis of wide-QRS tachycardia in young patients on flecainide; leaves open need for series to define ablation outcomes.
An 18-year-old gentleman with a 5-year-long history of palpitations was referred for radiofrequency ablation of a wide-QRS complex tachycardia. He admitted having 2-3 tachycardia episodes per year, which had recently increased in frequency despite therapy with a beta blocker, recently combined with the antiarrhythmic medication flecainide (100 mg bid). The morphology of the tachycardia on the 12-lead electrocardiogram indicated a right bundle branch block with a left axis deviation at a cycle length of 290 ms (207 bpm) ( Fig . 1A). Cardiac work-up revealed a normal heart anatomy by echocardiography, while a treadmill test was normal with no provokable arrhythmia... (excerpt)
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Manolis et al. (2015) conducted a case report in Left Idiopathic Ventricular Tachycardia (n=1). Radiofrequency ablation was evaluated. Radiofrequency ablation was performed in an 18-year-old male with left idiopathic ventricular tachycardia refractory to medical therapy.
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