Supraventricular tachycardia and sinus rhythm with contralateral bundle branch block patterns

Seongwook Han, John Miller, Mithilesh Das

Research output: Contribution to journalArticle

Abstract

A contralateral bundle branch block (BBB) aberration during tachycardia with a preexisting BBB strongly suggests the presence of ventricular tachycardia. We report on a middle-aged, female patient presented with wide QRS tachycardia. The patient had orthodromic atrioventricular tachycardia with a left BBB aberration in the presence of a preexisting right BBB due to an abnormal His-Purkinje system. We learned that the contralateral BBB aberration with supraventricular tachycardia could be seen when the His-Purkinje system was abnormal.

Original languageEnglish
Pages (from-to)271-273
Number of pages3
JournalKorean Circulation Journal
Volume44
Issue number4
DOIs
StatePublished - 2014

Fingerprint

Supraventricular Tachycardia
Bundle-Branch Block
Tachycardia
Ventricular Tachycardia

Keywords

  • Bundle of His
  • Bundle-branch block
  • Purkinje fibers
  • Tachycardia, supraventricular

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine

Cite this

Supraventricular tachycardia and sinus rhythm with contralateral bundle branch block patterns. / Han, Seongwook; Miller, John; Das, Mithilesh.

In: Korean Circulation Journal, Vol. 44, No. 4, 2014, p. 271-273.

Research output: Contribution to journalArticle

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AB - A contralateral bundle branch block (BBB) aberration during tachycardia with a preexisting BBB strongly suggests the presence of ventricular tachycardia. We report on a middle-aged, female patient presented with wide QRS tachycardia. The patient had orthodromic atrioventricular tachycardia with a left BBB aberration in the presence of a preexisting right BBB due to an abnormal His-Purkinje system. We learned that the contralateral BBB aberration with supraventricular tachycardia could be seen when the His-Purkinje system was abnormal.

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