Left posterior fascicular tachycardia due to localized microreentry

European Heart Journal
Y T TaiR W Campbell

Abstract

Fascicular tachycardia in young patients without overt heart disease constitutes a rare but electrophysiologically distinct arrhythmia entity. Microreentry within the left posterior fascicle has been proposed as its mechanism, but evidence for this is inconclusive. This report details a patient with incessant fascicular tachycardia. The electrophysiological features, in particular the pattern of resetting response, provided strong evidence for reentry as the tachycardia mechanism. Satisfactory long-term arrhythmia control was achieved with flecainide.

Citations

Aug 2, 2006·Journal of Cardiovascular Electrophysiology·J David BurkhardtAndrea Natale
Dec 11, 1997·Pacing and Clinical Electrophysiology : PACE·A M VoraM S Green
Jun 1, 1995·Pacing and Clinical Electrophysiology : PACE·M ZardiniR Yee
Feb 1, 1996·Circulation·R K ThakurW M Jackman

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