---
abstract: " Observation of Coincident arrhythmias is not uncommon but the co-existence of idiopathic verapamil sensitive left ventricular tachycardia (ILVT) with other arrhythmias is very rare. We hereby presented a 30 year old male patient with a history of frequent episodes of palpitations and sustained narrow complex tachycardia. During electrophysiologic study two arrhythmias, one with narrow complexes which was shown to be typical atrioventricular nodal re-entrant tachycardia and the other with wide QRS complexes and right bundle branch block and left axis morphology, compatible with ILVT, were inducible. Radiofrequency catheter ablation of both arrhythmias was done at two consecutive sessions. The patient has remained asymptomatic without antiarrhythmic therapy for the past six months.\n"
altloc:
  - http://www.ipej.org/0404/arya.htm
chapter: ~
commentary: ~
commref: ~
confdates: ~
conference: ~
confloc: ~
contact_email: ~
creators_id: []
creators_name:
  - family: Arya
    given: Arash
    honourific: ''
    lineage: ''
  - family: Haghjoo
    given: Majid
    honourific: ''
    lineage: ''
  - family: Emkanjoo
    given: Zahra
    honourific: ''
    lineage: ''
  - family: Heydari
    given: Alireza
    honourific: ''
    lineage: ''
  - family: Sadr-Ameli
    given: Mohammad Ali
    honourific: ''
    lineage: ''
date: 2004-10
date_type: published
datestamp: 2005-04-13
department: ~
dir: disk0/00/00/41/88
edit_lock_since: ~
edit_lock_until: ~
edit_lock_user: ~
editors_id: []
editors_name:
  - family: Singh
    given: Balbir
    honourific: ''
    lineage: ''
  - family: Lokhandwala
    given: Yash
    honourific: ''
    lineage: ''
  - family: Francis
    given: Johnson
    honourific: ''
    lineage: ''
  - family: Gupta
    given: Anup
    honourific: ''
    lineage: ''
eprint_status: archive
eprintid: 4188
fileinfo: /style/images/fileicons/application_pdf.png;/4188/1/arya.pdf|/style/images/fileicons/text_html.png;/4188/2/arya.htm
full_text_status: public
importid: ~
institution: ~
isbn: ~
ispublished: pub
issn: ~
item_issues_comment: []
item_issues_count: 0
item_issues_description: []
item_issues_id: []
item_issues_reported_by: []
item_issues_resolved_by: []
item_issues_status: []
item_issues_timestamp: []
item_issues_type: []
keywords: 'ventricular tachycardia, atrioventricular nodal reentrant tachycardia, catheter ablation'
lastmod: 2011-03-11 08:55:54
latitude: ~
longitude: ~
metadata_visibility: show
note: ~
number: 4
pagerange: 217-220
pubdom: TRUE
publication: Indian Pacing and Electrophysiology Journal
publisher: Indian Pacing and Electrophysiology Group
refereed: TRUE
referencetext: |-
  1. Lerman BB, Stein KM, Markowitz SM. Mechanism of idiopathic left ventricular tachycardia. J Cardiovasc Electrophysiol. 1997;8:571–583.
  
  2.  Nogami A. Idiopathic Left Ventricular Tachycardia: Assessment and Treatment. Cardiac Electrophysiology Review. 2002;6:448–457
  
  
  3. Kautzner J, Cihak R, Vancura V, Bytesnik J. Coincidence of idiopathic ventricular outflow tract tachycardia and atrioventricular nodal reentrant tachycardia. Europace. 2003;5:215-20.
  4.  Wagshal AB, Mittleman RS, Schuger CD, Huang SK. Coincident idiopathic left ventricular tachycardia and atrioventricular nodal re-entrant tachycardia: control by radiofrequency catheter ablation of the slow atrioventricular nodal pathway. Pacing Clin Electrophysiol. 1994;17:386-96.
  
  
  5. Kautzner J, Cihak R, Vancura V, et al. Coincidence of idiopathic ventricular outflow tract tachycardia and atrioventricular nodal reentrant tachycardia. Europace 2003; 5:215-220.
  
  
  6. Wen MS, Yeh SJ, Wang CC, et al. Radiofrequency ablation therapy in idiopathic left ventricular tachycardia with no obvious structural heart disease. Circulation. 1994;89:1690 –96.
  
  7. Nakagawa H, Beckman KJ, McClelland JH, et al. Radiofrequency catheter ablation of idiopathic left ventricular tachycardia guided by a Purkinje potential. Circulation. 1993;88:2607–17.
  
  8. Aiba T, Suyama K, Aihara N, et al. The Role of Purkinje and Pre-Purkinje Potentials in the Reentrant Circuit of Verapamil-Sensitive Idiopathic LV Tachycardia. Pacing Clin Electrophysiol. 2001; 24:333–344. 
  9.  Tsuchiya T, Okumura K, Honda T, et al. Significance of late diastolic potential preceding Purkinje potential in verapamil-sensitive idiopathic left ventricular tachycardia. Circulation. 1999;99:2408–2413. 
  
  
  
  10. Lokhandwala YY, Smeets JL, Rodriguez LM, et al. Idiopathic ventricular tachycardia-characterization and radiofrequency ablation. Indian Heart J. 1994;46:281-5.
  
  
  
  11. Lokhandwala YY, Vora AM, Naik AM, et al. Dual morphology of idiopathic ventricular tachycardia. J Cardiovasc Electrophysiol. 1999;10:1326-34. 
relation_type: []
relation_uri: []
reportno: ~
rev_number: 14
series: ~
source: ~
status_changed: 2007-09-12 16:56:36
subjects:
  - ipej
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: "Radiofrequency Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia: It Is Not Always As It Is Expected\n"
type: journalp
userid: 4424
volume: 4
<script src='https://archive-bar.soton.ac.uk/archive-bar.js'></script>
<script src='https://archive-bar.soton.ac.uk/google-analytics.js'></script>