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[Curative treatment in a patient with exercise induced syncope]
P Schley1, H Gülker, M Horlitz
1HELIOS Klinikum Wuppertal, Herzzentrum, Universitätsklinikum der Universität Witten/Herdecke, Medizinische Klinik 3/Kardiologie, Abteilung für Elektrophysiologie und Rhythmologie. pschley@wuppertal.helios-kliniken.de
Deutsche Medizinische Wochenschrift (1946)
|November 25, 2005
Summary
Idiopathic ventricular tachycardia, a rare cause of syncope in young adults, was successfully treated with catheter ablation. This intervention offers a curative solution for exercise-induced symptoms, demonstrating long-term symptom freedom.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Idiopathic ventricular tachycardia (IVT) is a rare condition causing syncope in young individuals.
- Distinguishing IVT from other cardiac conditions is crucial for prognosis.
Observation:
- A 38-year-old man presented with exercise-induced dizziness and syncope.
- Electrophysiological testing revealed adenosine-sensitive ventricular tachycardia originating from the right ventricular outflow tract.
Findings:
- Catheter ablation successfully eliminated the arrhythmogenic focus.
- The patient remained symptom-free for over two years post-ablation.
- Key electrophysiological characteristics of IVT were identified.
Implications:
- Catheter ablation is a curative treatment for IVT.
- Early diagnosis and exclusion of underlying heart disease, such as arrhythmogenic right ventricular cardiomyopathy, are vital for successful outcomes.
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