Skip to main content
Log in

Idiopathic Left Ventricular Tachycardia: Clinical Features, Mechanisms and Management

  • Published:
Cardiac Electrophysiology Review

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Lerman BB, Stein KM, Markowitz SM. Mechanism of idiopathic left ventricular tachycardia. J Cardiovasc Electrophysiol 1997;8:571–583.

    Google Scholar 

  2. Ohe T, Aihara N, Kamakura S, Kurita T, Shimizu W, Shimomura K. Long-term outcome of verapamil-sensitive sustained left ventricular tachycardia in patients without structural heart disease. J Am Coll Cardiol 1995;25:54–58.

    Google Scholar 

  3. Belhassen B, Rotmensch HH, Laniado S. Response of recurrent sustained ventricular tachycardia to verapamil. Br Heart J 1981;46:679–682.

    Google Scholar 

  4. Lin FC, Finly CD, Rahimtoola SH, Wu D. Idiopathic paroxysmal ventricular tachycardia with a QRS pattern of right bundle branch block and left axis deviation. A unique clinical entity with specific properties. Am J Cardiol 1983;52:95–100.

    Google Scholar 

  5. Klein GJ, Millman PJ, Yee R. Recurrent ventricular tachycardia responsive to verapamil. PACE1984;7:938–948.

    Google Scholar 

  6. Ohe T, Shimomura K, Aihara N, Kamakura S, Matsuhisa M, Sato I, Nakagawa H, Shimizu A. Idiopathic sustained left ventricular tachycardia. Clinical and electrophysiologic characteristics. Circulation 1988;77:560–568.

    Google Scholar 

  7. Okumura K, Matsuyama K, Miyagi H, Tsuchiya T, Yasue H. Entrainment of idiopathic ventricular tachycardia of left ventricular origin with evidence for reentry with an area of slow conduction and effect of verapamil. Am J Cardiol 1988;62:727–732.

    Google Scholar 

  8. Waldo AL, Plumb VJ, Arciniegas JG, MacLean WAH, Cooper TB, Priest MB, James TN. Transient entrainment and interruption of the atrioventricular bypass type of paroxysmal atrial tachycardia. A model for understanding and identifying reentrant arrhythmias. Circulation1983;67:73–83.

    Google Scholar 

  9. Okumura K, Henthorn RW, Epstein AE, Plumb VJ, Waldo AL. Further observations on transient entrainment. Importance of pacing site and properties of the components of the reentry circuit. Circulation1985;72:1293–1307.

    Google Scholar 

  10. Okumura K, Olshansky B, Henthorn RW, Epstein AE, Plumb VJ, Waldo AL. Demonstration of the presence of slow conduction during sustained ventricular tachycardia in man. Use of transient entrainment of the tachycardia. Circulation 1987;75:369–378.

    Google Scholar 

  11. Yamabe H, Okumura K, Tsuchiya T, Yasue H. Demonstration of entrainment and presence of slow conduction during ventricular tachycardia in arrhythmogenic right ventricular dysplasia. PACE1994;17:172–178.

    Google Scholar 

  12. Kay GN, Epstein AE, Plumb VJ. Region of slow conduction in sustained ventricular tachycardia. Direct endocardial recordings and functional characterization in humans. J Am Coll Cardiol1988;11:109–116.

    Google Scholar 

  13. Wen MS, Yeh SJ, Wang CC, Lin FC, Wu D. Successful radiofrequency ablation of idiopathic left ventricular tachycardia at a site away from the tachycardia exit. J Am Coll Cardiol 1997;30:1024–1031.

    Google Scholar 

  14. Kottkamp H, Chen X, Hindricks G, Willems S, Haverkamp W, Wichter T, Breithardt G, Borggrefe M. Idiopathic left ventricular tachycardia. New insights into electrophysiological characteristics and radiofrequency catheter ablation. PACE1995;18:1285–1297.

    Google Scholar 

  15. Nogami A, Naito S, Tada H, Oshima S, Taniguchi K, Aonuma K, Iesaka Y. Verapamil-sensitive left anterior fascicular ventricular tachycardia. Results of radiofrequency ablation in six patients. J Cardiovasc Electrophysiol 1998;9:1269–1278.

    Google Scholar 

  16. Okumura K, Yamabe H, Tsuchiya T, Tabuchi T, Iwasa A, Yasue H. Characteristics of slow conduction zone demonstrated during entrainment of idiopathic ventricular tachycardia of left ventricular origin. Am J Cardiol 1996;77:379–383.

    Google Scholar 

  17. Tsuchiya T, Okumura K, Honda T, Iwasa A, Ashikaga K. Effects of verapamil and lidocaine on two components of the reentry circuit of verapamilsensitive idiopathic left ventricular tachycardia. JAm Coll Cardiol 2001;37:1415–1421.

    Google Scholar 

  18. Suwa M, Yoneda Y, Nagao H, Sakai Y, Nakayama Y, HirotaY, Kawamura K, Iwa T. Surgical correction of idiopathic paroxysmal ventricular tachycardia possibly related to left ventricular false tendon. Am J Cardiol 1989;64:1217–1220.

    Google Scholar 

  19. Thakur RK, Klein GJ, Sivaram CA, Zardini M, Schleinkofer DE, Nakagawa H, Yee R, Jackman W. Anatomic substrate for idiopathic left ventricular tachycardia. Circulation 1996;93:497–501.

    Google Scholar 

  20. Tsuchiya T, Okumura K, Honda T, Honda T, Iwasa A, Yasue H, Tabuchi T. Significance of late diastolic potential preceding Purkinje potential in verapamil-sensitive idiopathic left ventricular tachycardia. Circulation 1999;99:2408–2413.

    Google Scholar 

  21. Nogami A, Naito S, Tada H, Taniguchi K, Okamoto Y, Nishimura S, Yamauchi Y, Aonuma K, Goya M, Iesaka Y, Hiroe M. Demonstration of diastolic and presystolic Purkinje potentials as critical potentials in a macroreentry circuit of verapamilsensitive idiopathic left ventricular tachycardia. J Am Coll Cardiol2000;36:811–823.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Okumura, K., Tsuchiya, T. Idiopathic Left Ventricular Tachycardia: Clinical Features, Mechanisms and Management. Card Electrophysiol Rev 6, 61–67 (2002). https://doi.org/10.1023/A:1017987122565

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1017987122565

Keywords

Navigation