Idiopathic ventricular tachycardia

- (?) -



QRS
QRS
49/, : , BP 90/60 mmHg
?
1) Adenosine 6 mg IV
2)
3)
4) Amiodarone 150 mg IV
5)
adenosine 6mg
12mg

IDIOPATHIC VT?
Definition of IDIOPATHIC
: arising spontaneously or from an
obscure or unknown cause



Classification

(RVOT)
(LVOT)
(Fascicular)


Verapamil-Sensitive
Adenosine-Sensitive
Catecholamine/exercise-Sensitive

Reentry Mechanisms for VT
Mechanisms for idiopathic VT

RVOT
LVOT
coronary sinus
cardiac vein
epicardium
%
Anatomic Considerations
ECG lead grouping

Lateral


Septal


Anterior


Inferior


High Lateral


Septal


Lateral


Inferior


Inferior


Anterior


Lateral

RVOT-VT
ECG-Anatomic Considerations
Fascicular-VT (post)
ECG-Anatomic Considerations
Fascicular-VT (anterior)
Treatment of idiopathic VT
49/, : , BP 90/60 mmHg
After verapamil IV injection
Take Home Message
Thank you for your attention!