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Bundle branch reentrant tachycardia in a patient with normal ventricular function

Simon P Fynn1, Jonathan M Kalman

  • 1The Royal Melbourne Hospital Department of Cardiology, University of Melbourne, Royal Parade, Parkville, Victoria 3050, Australia. simon.fynn@mh.org.au

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
|May 11, 2004
PubMed

Insights

Bundle branch reentrant tachycardia in patients with normal heart function can be cured by radiofrequency ablation. Long-term outcomes and defibrillator use require further investigation.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Cardiac Arrhythmias

Background:

  • Bundle branch reentrant tachycardia (BBRT) is a rare ventricular arrhythmia.
  • While often associated with structural heart disease, BBRT can occur in individuals with preserved left ventricular function.

Observation:

  • This report details an unusual case of BBRT in a patient with normal left ventricular ejection fraction.
  • The patient's tachycardia was successfully terminated using radiofrequency catheter ablation.

Findings:

  • Radiofrequency catheter ablation offers a curative treatment for BBRT in select patients.
  • The long-term prognosis following ablation for BBRT in patients with normal ventricular function remains uncertain.

Implications:

  • Further research is needed to clarify the long-term risks and benefits of ablation versus medical management.
  • The role and indications for implantable cardioverter-defibrillators (ICDs) in this patient population warrant careful consideration and discussion.

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