Idiopathic fascicular left ventricular tachycardia

Revision as of 01:26, 22 December 2020 by Farmersj333 (talk | contribs) (→‎Stable)

Background

  • Also known as fascicular tachycardia, idiopathic fascicular left ventricular tachycardia (ILFVT), Belhassen-type VT, verapamil-sensitive VT, or intrafascicular tachycardia
  • Re-entrant tachycardia seen typically in young patients without structural heart disease

Clinical Features

Differential Diagnosis

Narrow-complex tachycardia

Evaluation

Workup

Diagnosis

Management

Unstable

Synchronized Cardioversion

Stable

Vagal Maneuvers

  • IFLVT does not usually respond to this tx

Adenosine

  • IFLVT does not usually respond to this tx

Verapamil

  • 10 mg over 1 min
    • only administer in stable patients with an established diagnosis of IFLVT

Disposition

See Also

External Links

References

  1. [1], Reviriego, Sara Moreno. “Idiopathic Fascicular Left Ventricular Tachycardia.” European Society of Cardiology, European Society of Cardiology, 20 Dec. 2010.