SVT MIMICRY IN FASCICULAR VT: IMPORTANCE OF EARLY RECOGNITION AND CLASS I ABLATION STRATEGY

Clicks: 11
ID: 331069
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #307 of 330 articles by views in European heart journal supplements : journal of the European Society of Cardiology

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 330 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Idiopathic left fascicular ventricular tachycardia (ILFVT) is a form of ventricular tachycardia characterized by a relatively narrow QRS complex, frequently mimicking supraventricular tachycardia. Differentiating VT from SVT remains challenging despite available electrocardiography (ECG) algorithms but is essential due to differing mechanisms and treatment strategies, as misdiagnosis may result in inappropriate and potentially harmful management. Case Illustration A 42-year-old male presented with recurrent palpitations since 2021, predominantly during exertion and relieved by rest. Symptoms worsened in late 2024 and were refractory to medical therapy, including verapamil. The patient had a history of coronary artery disease with prior percutaneous coronary intervention to the proximal-mid left anterior descending artery in 2025. Physical examination and baseline electrocardiogram during sinus rhythm were unremarkable. Holter monitoring showed rare premature ventricular and atrial complexes without sustained arrhythmia. Transthoracic echocardiography demonstrated preserved left ventricular systolic function (ejection fraction 64%) with regional wall motion abnormalities consistent with prior LAD ischemia. During electrophysiological study, non-sustained ventricular tachycardia was inducible, showing right bundle branch block morphology with superior axis, suggestive of posterior fascicular ILVT. Mapping identified Purkinje potential at the inferoapical left ventricle. Radiofrequency ablation was successfully performed, and post-procedure arrhythmia was no longer inducible. The patient remained asymptomatic at follow-up. Conclusion This case highlights the importance of distinguishing fascicular VT from SVT mimics. Early electrophysiological evaluation enables accurate diagnosis and definitive treatment, while catheter ablation targeting Purkinje potentials provides a safe and effective Class I strategy.Figure 1.ECG Idiopathic left fascicular ventricular tachycardia
Reference Key
openalex_W7220391254 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors S Fratama, B Baktijasa, P Simanjuntak
Are you one of these authors? Claim your profile
Journal European heart journal supplements : journal of the European Society of Cardiology
Year 2026
DOI
10.1093/eurheartjsupp/suag119.030
URL
https://doi.org/10.1093/eurheartjsupp/suag119.030
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.