Abstract
Key Clinical MessageThe present case demonstrated a rare situation alternating between a repetitive atrial tachycardia (AT) and ventricular tachycardia (VT). A unique induction mechanism was noted in which the VT was induced after Wenckebach AV node conduction block following the repetitive rapid AT.
Highlights
Clinical Case Reports published by John Wiley & Sons Ltd
Idiopathic left ventricular tachycardia (VT) was previously reported to be sensitive to verapamil and to have an RBBB morphology with a left axis configuration on the electrocardiogram
For left posterior fascicular VT, the reentrant VT circuit involving the left posterior fascicle is considered to consist of specialized Purkinje tissue with decremental properties and verapamil sensitivity, is located near the distal third of the left posterior fascicle Purkinje network, and serves as the anterograde limb, and the left posterior fascicle or Purkinje fibers near the left posterior fascicle with faster conduction, that is, normal fibers, serve as the retrograde limb
Summary
The present case demonstrated a rare situation alternating between a repetitive atrial tachycardia (AT) and ventricular tachycardia (VT). A unique induction mechanism was noted in which the VT was induced after Wenckebach AV node conduction block following the repetitive rapid AT.
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