Vol 60, No 6 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28
Get Citation

Polymorphic ventricular tachycardia with a short coupling interval in a patient with normal heart - a case report

Piotr Kukla, Jerzy Hybel, Jacek Bednarek, Teresa Słowiak-Lewińska, Stanisław Malinowski, Kazimierz Szczuka
Kardiol Pol 2004;60(6):586-590.
Vol 60, No 6 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28

Abstract

Abstract: We describe a case of a 59-year-old female with paroxysmal atrial fibrillation and arterial hypertension who had syncopal attacks due to polymorphic ventricular tachycardia (PMVT) with a short coupling interval of an initiating beat (280 msec). We excluded structural heart disease. In the resting ECG the QTc interval was 420 msec. During Holter monitoring a slight changes of the ST-T segment in V1 were observed (from positive T wave with ST elevation of 1 mm to flat or negative T wave without ST elevation). Additionally, after PMVT a large U-wave (4 mm of amplitude) with the QTU interval of 600 msec and QTUc interval of 662 msec were observed. The U wave disappeared 9 minutes afterwards. The ajmaline test was positive for the Brugada syndrome. The patient received ICD and sotalol, and during 6-month follow-up she remains asymptomatic.

Abstract

Abstract: We describe a case of a 59-year-old female with paroxysmal atrial fibrillation and arterial hypertension who had syncopal attacks due to polymorphic ventricular tachycardia (PMVT) with a short coupling interval of an initiating beat (280 msec). We excluded structural heart disease. In the resting ECG the QTc interval was 420 msec. During Holter monitoring a slight changes of the ST-T segment in V1 were observed (from positive T wave with ST elevation of 1 mm to flat or negative T wave without ST elevation). Additionally, after PMVT a large U-wave (4 mm of amplitude) with the QTU interval of 600 msec and QTUc interval of 662 msec were observed. The U wave disappeared 9 minutes afterwards. The ajmaline test was positive for the Brugada syndrome. The patient received ICD and sotalol, and during 6-month follow-up she remains asymptomatic.
Get Citation

Keywords

polymorphic ventricular tachycardia - brugada syndrome - long qt syndrome - sudden death

About this article
Title

Polymorphic ventricular tachycardia with a short coupling interval in a patient with normal heart - a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 60, No 6 (2004)

Pages

586-590

Published online

2005-12-12

Bibliographic record

Kardiol Pol 2004;60(6):586-590.

Keywords

polymorphic ventricular tachycardia - brugada syndrome - long qt syndrome - sudden death

Authors

Piotr Kukla
Jerzy Hybel
Jacek Bednarek
Teresa Słowiak-Lewińska
Stanisław Malinowski
Kazimierz Szczuka

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., Świętokrzyska 73 street, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl