Bundle branch reentrant ventricular tachycardia: review and case presentation

Jorge Romero, Pasquale Santangeli, Rajeev K. Pathak, Michael Grushko, David Briceno, Roberto Cerrud-Rodriguez, Renato Quispe, Vito Grupposo, Luigi Di Biase

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Bundle branch reentrant ventricular tachycardia (BBRVT) is characterized by a unique, fast (200–300 beats/min), monomorphic wide complex tachycardia (WCT) associated with syncope, hemodynamic compromise, and cardiac arrest. It is challenging to diagnose, requiring a His bundle recording and specific pacing maneuvers. The overall incidence has been reported to be up to 20% among patients with non-ischemic cardiomyopathy (NICM) undergoing electrophysiologic studies. We report a case of BBRVT in a patient with ischemic cardiomyopathy (ICM) presenting as a WCT with recurrent implantable-cardioverter-defibrillator (ICD) shocks. We describe all the characteristic features of BBRVT and discuss its differential. We also discuss the role of ablation for this condition.

Original languageEnglish (US)
Pages (from-to)385-393
Number of pages9
JournalJournal of Interventional Cardiac Electrophysiology
Volume52
Issue number3
DOIs
StatePublished - Aug 1 2018

Keywords

  • Bundle branch reentrant ventricular tachycardia (BBRVT)
  • Catheter ablation (CA)
  • Implantable cardioverter-defibrillator (ICD)
  • Ischemic cardiomyopathy (ICM)
  • Ventricular tachycardia (VT)
  • Wide complex tachycardia (WCT)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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