Reverse BBRVT in a structurally normal heart.

Phlips, Thomas;Ramchurn, Hemant;De Roy, Luc
(2012) Acta Cardiologica : an international journal of cardiology — Vol. 67, n° 5, p. 603-607 (2012)

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Authors
  • Phlips, ThomasUCLouvain
    Author
  • Ramchurn, Hemant
    Author
  • De Roy, LucUCLouvain
    Author
Abstract
We present a case of bundle-branch reentry ventricular tachycardia with RBBB morphology (reverse BBRVT) in a patient with preexisting right bundle-branch block and without apparent structural heart disease.The diagnosis of BBRVT may be very challenging due to the similar wide QRS morphology during tachycardia and in sinus rhythm, rather suggesting a supraventricular origin. BBRVT should be suspected even in the absence of structural heart disease, but especially in patients with extensive underlying His-Purkinje conduction disorders. The aetiology, mechanism, diagnostic issues and treatment are briefly reviewed.
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Phlips, T., Ramchurn, H., & De Roy, L. (2012). Reverse BBRVT in a structurally normal heart. Acta Cardiologica : an international journal of cardiology, 67(5), 603-607. https://hdl.handle.net/2078.5/203869 (Original work published 2012)