Radiofrequency current caused slowing of non-reentrant idiopathic right ventricular tachycardia originating from a wide arrhythmogenic area

Br Heart J. 1995 Dec;74(6):698-9. doi: 10.1136/hrt.74.6.698.

Abstract

Radiofrequency catheter ablation was attempted in a patient with non-reentrant idiopathic right ventricular tachycardia (VT). Endocardial mapping indicated that the VT originated in the outflow tract of the right ventricle; however, an electrogram with an almost the identical activation time was recorded from an area extending to 1.0 x 2.0 cm. Each application of radiofrequency current within the area terminated VT, but a progressively slower VT with the same QRS configuration was induced until the area was covered by separate radiofrequency lesions. A progressive prolongation of VT cycle length might be related to a residual arrhythmogenic myocardium. Termination and slowing of the VT rate can be a hallmark of efficacy of each radiofrequency lesion.

Publication types

  • Case Reports

MeSH terms

  • Arrhythmias, Cardiac / physiopathology
  • Catheter Ablation*
  • Electrocardiography
  • Female
  • Humans
  • Middle Aged
  • Tachycardia, Ventricular / physiopathology
  • Tachycardia, Ventricular / surgery*