case report_two cases of ventricular tachycardia
TRANSCRIPT
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Pei-Lun, Hung
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Case 1
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35 Y/O manDM(-), HTN(-), Smoking(-)Reccurent palpitation for several yearsUnderwent failed CARTO guided-VT ablation attempt at a previous centreOn Propafenone 150mg, TID
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Physical Exam
Obese Irregular pulsesIntermittently varying S1 intensity
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Investigations
ECGEcho -Normal biventricular functionHolter - VT episodesCAG- Normal
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ECG
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Successful ablation
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Case 2
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Mr. Yang53 Y/O famerNo systemic disease, except cardiac arrhythmias for several yearsAggravation of palpitation for 6 months. He visited Chang-Bing Show-Chwan Memorial hospital CV OPD in 99.12.Admission to VGH-TPE CV ward on 100.1.4 for EPS+/-ABL.
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The earliest activation site
RCC
LCC
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Successful ablation
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VT origin from subvalvular area beneath LCC with successful ablation.
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Our caseCase1 Case2
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1) LBBB and right inferior axis2) transition between V2-V33) rS complex over lead I, QS over aVL4) R wave III/II ratio of>0.9
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Catheter ablation within the sinus of Valsalva—
The ABL is safe and effective.
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Thanks for your attention!