Resumo

BENITEZ RAMOS, Dunia et al. Incessant right ventricular outflow tract tachycardia - Tachycardiomyopathy? The enigma. CorSalud [online]. 2020, vol.12, n.4, pp. 451-457.  Epub 01-Dez-2020. ISSN 2078-7170.

Long-lasting or incessant ventricular tachycardias may cause heart failure, left ventricular dysfunction, and cardiomyopathy; conditions that reverse once the arrhythmias have been solved.

This is a diagnosis of exclusion: there may be a basic heart disease that worsens with the tachycardia and it must be clarified whether the arrhythmia leads to cardiomyopathy (there may be an underregistration) or vice versa. A patient with incessant right ventricular outflow tract tachycardia, with long evolution, hemodynamic repercussion, dilated cardiomyopathy and severe dysfunction of the left ventricle, refractory to antiarrhythmic drugs and with two failed ablations, pending endomyocardial biopsy and new ablation of his tachycardia is presented. Some clues to differentiate right ventricular outflow tract arrhythmias, in their benign (most frequent) and malignant variants, are discussed. Some clues to differentiate them are: the duration of the QRS complex, the coupling interval of premature contractions and the heart rate of the tachycardia.

Palavras-chave : Tachycardiomyopathy; Malignant ventricular arrhythmias; Right ventricular outflow tract tachycardia.

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