Mid-diastolic potential is related to the reentrant circuit in a patient with verapamil-sensitive idiopathic left ventricular tachycardia

J Cardiovasc Electrophysiol. 1998 Sep;9(9):1004-7. doi: 10.1111/j.1540-8167.1998.tb00142.x.

Abstract

We report a case of verapamil-sensitive idiopathic ventricular tachycardia in which a mid-diastolic potential (MDP) 45 msec preceding the Purkinje potential (P potential) was recorded. Pacing during the tachycardia caused concealed entrainment, and the stimulus-QRS interval was equal to the P potential-QRS interval. The interval between the last pacing stimulus and the next P potential (postpacing interval) was longer than the ventricular tachycardia cycle length, but the MDP was orthodromically activated. These findings suggest that the MDP was on the reentrant circuit and the P potential was not on the reentrant circuit, but a bystander.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Arrhythmia Agents / therapeutic use*
  • Catheter Ablation
  • Diastole
  • Electrocardiography*
  • Follow-Up Studies
  • Humans
  • Male
  • Purkinje Fibers / drug effects
  • Purkinje Fibers / physiopathology
  • Purkinje Fibers / surgery
  • Recurrence
  • Tachycardia, Ventricular / drug therapy
  • Tachycardia, Ventricular / physiopathology*
  • Tachycardia, Ventricular / surgery
  • Verapamil / therapeutic use*

Substances

  • Anti-Arrhythmia Agents
  • Verapamil