Repetitive Monomorphic Ventricle Tachycardia: Apa dan bagaimana?

  • Yoga Yuniadi Divisi Aritmia, Departemen Kardiologi dan Kedokteran Vaskuler FKUI dan Pusat Jantung Nasional Harapan, Kita, Jl S Parman Kav 87 Jakarta 11420
DOI: https://doi.org/10.30701/ijc.v32i3.100

Abstract

Seorang perempuan, 34 tahun datang ke poli aritmia Pusat Jantung Nasional Harapan Kita dengan keluhan palpitasi berulang. Tidak terdapat episode pingsan. Gambaran EKG seperti di bawah ini:



Kemudian dilakukan rekaman Holter 24 jam di mana diperoleh gambaran episode ventrikel takikardia nonsustain yang sering. Berdasarkan pola di atas maka EKG pada pasien kita sesuai dengan suatu RMVT yang berasal dari aortic sinus cusp (ASC) kanan. Perhatikan bahwa zona transitional yang dini (V2) adalah tanda yang mudah diingat sebagai clue suatu ASC VPC pada morfologi LBBB dengan aksis inferior.

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References

Ouyang F, Fotuhi P, Ho SY, Hebe J, Volkmer M, Burns M, et al. Repetitive monomorphic ventricular tachycardia originating from aortic sinus cusp: Electrocardiographic characterization for guiding catheter ablation. J Am Coll Cardiol. 2002; 39: 500-8

Takahashi N, Saikawa T, Oribe A, et al. Radiofrequency catheter ablation from the left sinus of Valsalva in a patient with idiopathic ventricular tachycardia. Pace. 2000; 23: 1172-5.

Maharani E, Hanafy DA, Yuniadi Y. Catheter ablation of ventricle tachycardia in left ventricle outflow tract: Case series of conventional and 3D electroanatomical mapping. Bangladesh Heart J. 2011
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How to Cite
Yuniadi, Y. (1). Repetitive Monomorphic Ventricle Tachycardia: Apa dan bagaimana?. Indonesian Journal of Cardiology, 32(3), 204-6. https://doi.org/10.30701/ijc.v32i3.100
Issue
Vol. 32, No. 3 Juli - September 2011
Section
Forum Aritmia

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