RADIOFREQUENCY CATHETER ABLATION OF IDIOPATHIC LEFT POSTERIOR FASCICULAR VENTRICULAR TACHYCARDIA IN SINUS RHYTHM
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Keywords
Radiofrequency, catheter ablation, idiopathic left posterior fascicular ventricular tachycardia, sinus rhythm
Abstract
Objective: To determine the Radiofrequency catheter ablation of idiopathic left posterior fascicular ventricular tachycardia in sinus rhythm.
Methodology: This study was conducted at the Cardiac Electrophysiology Department, Hayatabad Medical complex Peshawar Pakistan from February 2015 to December 2021. A total of 75 Patients with both gender and any age group were included in this study. Total 75 individuals of any age and gender who met the Zippes Triad criteria for idiopathic left ventricular tachycardia were included. For these individuals, radiofrequency ablation procedures were performed. Diastolic potential was the primary focus of ablation. Using SPSS version 18, data was input and examined for descriptive statistics.
Results: 12 women and 63 men made up the total of 75 patients. Sixty percent of the patients reported having palpitations, and ninety-six percent had chest discomfort in addition to palpitations. Most frequent ECG result was right bundle branch block with left axis deviation, whereas 2.6% of patients had right bundle branch block with right axis deviation. Only 6.6% of instances had recurrence after all successful ablations. All ablations, with the exception of one, were performed using retrograde approach.
Conclusion: The most prevalent arrhythmia in our group is idiopathic left ventricular tachycardia, for which radiofrequency catheter ablation is the recommended course of treatment.
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Zahoor Ahmad Khan
Assistant Professor Cardiac Electrophysiology Department Hayatabad Medical Complex, Peshawar – Pakistan
Hameedullah
Associate Professor Cardiac Electrophysiology Department Hayatabad Medical Complex, Peshawar - Pakistan
Zahid Aslam Awan
Professor Cardiac Electrophysiology Department Hayatabad Medical Complex, Peshawar - Pakistan