Sustained right ventricular tachycardia originating close to defibrillator lead tip in hypertrophic cardiomyopathy

Michela Casella, Antonio Dello Russo, Gemma Pelargonio, Claudio Tondo

Research output: Contribution to journalArticlepeer-review

Abstract

Right Ventricular Tachycardia in Hypertrophic Cardiomyopathy. The case of a 57-year-old woman with a longstanding history of obstructive hypertrophic cardiomyopathy in dilatative phase and incessant monomorphic ventricular tachycardia is reported. Endocardial recordings and electroanatomic mapping suggested local reentry involving right ventricular apical septum, close to a pacing/defibrillation lead tip. Radiofrequency pulses delivered at this site resulted in definite cure of the arrhythmia. It is possible that fibrotic reaction around pacing/defibrillation lead in a diseased myocardium substrate has contributed to the creation of a reentry circuit.

Original languageEnglish
Pages (from-to)994-997
Number of pages4
JournalJournal of Cardiovascular Electrophysiology
Volume18
Issue number9
DOIs
Publication statusPublished - Sept 2007

Keywords

  • Electroanatomic mapping system
  • Hypertrophic cardiomyopathy
  • Implantable cardioverter-defibrillator
  • Right ventricle tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology

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