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Verapamil-sensitive idiopathic left ventricular tachycardia and concomitant atrioventricular nodal reentrant tachycardia. 2021
Dimitrios Varvarousis, and
Georgios Andrikopoulos, and
Kali Polytarchou, and
Leonidas Poulimenos, and
Manolis Kallistratos, and
Pavlos Tsinivizov, and
Andreas Triantafyllis, and
Alexandros Sikiotis, and
Athanasios Manolis
Cardiology Department, Asklepeion General Hospital, Athens, Greece. Electronic address: dvarvar@hotmail.com.
We describe the case of a young patient with runs of repetitive monomorphic left ventricular tachycardia. He was diagnosed with verapamil-sensitive, idiopathic left ventricular tachycardia (ILVT) and underwent an electrophysiological study, in which dual atrioventricular (AV) nodal physiology was evident, with an AV nodal reentrant tachycardia (AVNRT) being easily and reproducibly induced. Both the AVNRT and the ILVT were successfully ablated using high-density electroanatomical mapping and an open-irrigation catheter. In conclusion, verapamil-sensitive ILVT might coexist with AVNRT. In case of invasive therapy, a thorough electrophysiological evaluation is mandatory to exclude or treat other co-existing reentrant supraventricular arrhythmias.
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