Resumen

VELAZQUEZ-RODRIGUEZ, Enrique; RODRIGUEZ-PINA, Horacio; PACHECO-BOUTHILLIER, Alex  y  DERAS-MEJIA, Luz María. Cardiomyopathy induced by incessant fascicular ventricular tachycardia. Arch. Cardiol. Méx. [online]. 2013, vol.83, n.3, pp.194-198. ISSN 1665-1731.  https://doi.org/10.1016/j.acmx.2013.04.013.

A 12-year-old girl with symptoms of fatigue, decreased exercise tolerance and progressive dyspnea (New York Heart Association functional class III) with a possible diagnosis of dilated cardiomyopathy secondary to viral myocarditis. Because of incessant wide QRS tachycardia refractory to antiarrhythmic drugs, she was referred for electrophysiological study. The diagnosis was idiopathic left ventricular tachycardia involving the posterior fascicle of the left bundle branch. After successful treatment with radiofrequency catheter ablation guided by a Purkinje potential radiological and echocardiographic evaluation showed complete reversal of left ventricular function in the first 3 months and no recurrence of arrhythmia during 2 years of follow up.

Palabras llave : Fascicular ventricular tachycardia; Idiopathic left ventricular tachycardia; Verapamil-sensitive ventricular tachycardia; Tachycardia-mediated cardiomyopathy; Mexico.