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Publication year
2010Source
Nederlands Tijdschrift voor Geneeskunde, 154, 45, (2010), pp. A2114ISSN
Publication type
Article / Letter to editor

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Organization
Cardiology
Journal title
Nederlands Tijdschrift voor Geneeskunde
Volume
vol. 154
Issue
iss. 45
Page start
p. A2114
Page end
p. A2114
Subject
NCEBP 14: Cardiovascular diseasesAbstract
Three patients, one experiencing palpitations and two complaining of chest pain in stressful situations, appeared to have monomorphic wide complex tachycardia. After excluding channelopathy, structural abnormalities and ischaemia of the heart, this arrhythmia was classified as idiopathic. Symptoms disappeared in one patient after using metoprolol, a beta-adrenoceptor blocker. The other two patients were treated with radiofrequency ablation of the focus from which the tachycardias arose. Idiopathic ventricular tachycardia mostly arises from the right ventricular outflow tract. The diagnosis is made upon history taking, including family history, echocardiography, 12-lead ECG, exercise testing and 24-hour Holter monitoring. The prognosis is excellent and sudden cardiac death is rarely seen.
This item appears in the following Collection(s)
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- Electronic publications [103351]
- Faculty of Medical Sciences [81055]
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