Bundle branch reentrant ventricular tachycardia: review and case presentation

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

Research output: Contribution to journalArticle

2 Citations (Scopus)

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

Fingerprint

Ventricular Tachycardia
Cardiomyopathies
Tachycardia
Bundle of His
Implantable Defibrillators
Syncope
Heart Arrest
Shock
Hemodynamics
Incidence

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)

Cite this

Bundle branch reentrant ventricular tachycardia : review and case presentation. / Romero, Jorge E.; Santangeli, Pasquale; Pathak, Rajeev K.; Grushko, Michael J.; Briceno, David; Cerrud-Rodriguez, Roberto; Quispe, Renato; Grupposo, Vito; Di Biase, Luigi.

In: Journal of Interventional Cardiac Electrophysiology, Vol. 52, No. 3, 01.08.2018, p. 385-393.

Research output: Contribution to journalArticle

Romero, Jorge E. ; Santangeli, Pasquale ; Pathak, Rajeev K. ; Grushko, Michael J. ; Briceno, David ; Cerrud-Rodriguez, Roberto ; Quispe, Renato ; Grupposo, Vito ; Di Biase, Luigi. / Bundle branch reentrant ventricular tachycardia : review and case presentation. In: Journal of Interventional Cardiac Electrophysiology. 2018 ; Vol. 52, No. 3. pp. 385-393.
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