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KMID : 0368120150450060526
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Korean Circulation Journal
2015 Volume.45 No. 6 p.526 ~ p.530
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Intramural Reentrant Ventricular Tachycardia in a Patient with Severe Hypertensive Left Ventricular Hypertrophy
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Lin Chin-Yu
Chung Fa Po
Lin Yenn Jiang
Chen Shih Ann
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Abstract
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We describe the case of a patient with severe hypertensive left ventricular hypertrophy and sustained hemodynamically unstable ventricular tachycardia (VT). Entrainment was demonstrated in the electrophysiological study. Activation mapping and pacemapping identified the location of the intramural reentrant VT with the exit site close to the epicardium. However, VT persisted after ablation at the epicardial exit site. Successful ablation was performed endocardially at the corresponding position.
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KEYWORD
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Catheter ablation, Hypertension, Hypertrophy, left ventricular, Tachycardia, ventricular
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