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Related Experiment Videos

Positional ventricular tachycardia.

Tetsuo Betsuyaku1, Kazuya Yonezawa, Masayuki Sakurai

  • 1Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan. betsuo@yahoo.com

Pacing and Clinical Electrophysiology : PACE
|October 30, 2004
PubMed
Summary

A 60-year-old man experienced ventricular tachycardia (VT) originating from a false tendon. This condition spontaneously resolved over 16 years, highlighting a unique case of cardiac anomaly remission.

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Area of Science:

  • Cardiology
  • Cardiac Electrophysiology
  • Medical Imaging

Background:

  • Ventricular tachycardia (VT) can arise from various cardiac abnormalities.
  • False tendons are anomalous structures within the ventricles, sometimes implicated in arrhythmias.
  • Deep inspiration can influence cardiac rhythm and hemodynamics.

Observation:

  • A 60-year-old male presented with episodes of nonsustained, repetitive, monomorphic VT.
  • VT episodes were terminated by deep inspiration.
  • Imaging revealed a false tendon from the apex to the basal septum, a potential VT origin.

Findings:

  • The false tendon was identified as the likely source of the ventricular tachycardia.
  • The patient experienced spontaneous remission of VT during a 16-year follow-up period.

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  • Deep inspiration's role in terminating VT suggests a mechanical or autonomic influence.
  • Implications:

    • This case suggests that false tendons can be a source of VT.
    • Spontaneous remission of VT from a false tendon is possible, challenging typical management paradigms.
    • Further research into the mechanisms of VT termination by respiration and spontaneous remission is warranted.