CC BY-NC-ND 4.0 · Journal of Cardiac Critical Care TSS 2022; 06(03): 225-227
DOI: 10.1055/s-0042-1759814
Case Report

Idiopathic Left Posterior Fascicular Ventricular Tachycardia in Children: A Case Report

1   Department of Pediatric Critical Care, DMICC, Jaipur, Rajasthan, India
,
1   Department of Pediatric Critical Care, DMICC, Jaipur, Rajasthan, India
› Author Affiliations

Abstract

The incidence of idiopathic ventricular tachycardia is scarce; however, it is the most common type of ventricular tachycardia in previously normal children. Left posterior fascicular ventricular tachycardia is one of them, and many times it is mismanaged as paroxysmal supraventricular tachycardia. The characteristic features of this arrhythmia are a monomorphic tachycardia, right bundle branch block, and superior axis. This type of arrhythmia is highly sensitive to verapamil, even in infancy, but refractory to adenosine or amiodarone. As nonrecognition of this condition can be fatal, it should be identified early.



Publication History

Article published online:
03 December 2022

© 2022. Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Pfammatter JP, Paul T. Working Group on Dysrhythmias and Electrophysiology of the Association for European Pediatric Cardiology. Idiopathic ventricular tachycardia in infancy and childhood: a multicenter study on clinical profile and outcome. J Am Coll Cardiol 1999; 33 (07) 2067-2072
  • 2 Ataíde Silva R, Mingas O, Martins D, Morgado FB. Fascicular tachycardia in a child: striking features that improve emergency management. BMJ Case Rep 2020; 13 (10) e239657
  • 3 Kehr J, Binfield A, Maxwell F, Hornung T, Skinner JR. Fascicular tachycardia in infancy and the use of verapamil: a case series and literature review. Arch Dis Child 2019; 104 (08) 789-792
  • 4 Collins KK, Schaffer MS, Liberman L. et al; Pediatric and Congenital Electrophysiology Society. Fascicular and nonfascicular left ventricular tachycardias in the young: an international multicenter study. J Cardiovasc Electrophysiol 2013; 24 (06) 640-648
  • 5 Song MK, Baek JS, Kwon BS. et al. Clinical spectrum and prognostic factors of pediatric ventricular tachycardia. Circ J 2010; 74 (09) 1951-1958
  • 6 Lerman BB, Stein KM, Markowitz SM. Mechanisms of idiopathic left ventricular tachycardia. J Cardiovasc Electrophysiol 1997; 8 (05) 571-583
  • 7 Prystowsky EN, Padanilam BJ, Joshi S, Fogel RI. Ventricular arrhythmias in the absence of structural heart disease. J Am Coll Cardiol 2012; 59 (20) 1733-1744
  • 8 Goy JJ, Tauxe F, Fromer M, Schläpfer J, Vogt P, Kappenberger L. Ten-years follow-up of 20 patients with idiopathic ventricular tachycardia. Pacing Clin Electrophysiol 1990; 13 (09) 1142-1147