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Vol. 53. Núm. 2.
Páginas 156-158 (agosto 2000)
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Vol. 53. Núm. 2.
Páginas 156-158 (agosto 2000)
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Reversibilidad de la miocardiopatía tras curación de la taquicardia ventricular incesante mediante ablación con radiofrecuencia en el lactante
Reversibility of tachycardia-induced cardiomyopathy following cure of incessant left ventricular tachycardia using radiofrequency ablation in a newborn infant
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F. Benito Bartolomé*, C. Sánchez Fernández-Bernal
Unidad de arritmias. Hospital Materno-Infantil La Paz. Madrid
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Presentamos el caso de un niño de 15 meses de edad con miocardiopatía inducida por taquicardia ventricu-lar izquierda incesante, refractaria al tratamiento an-tiarrítmico. En el ECG se registró una taquicardia con QRS ancho y morfología de bloqueo de rama derecha y eje superoizquierdo. La taquicardia fue ablacionada con una aplicación de radiofrecuencia en la región in-feroapical del septo interventricular izquierdo. Una se-mana después, la fracción de acortamiento del ventrí-culo izquierdo se incrementó del 12 al 30%. A los 18 meses del seguimiento no ha habido recurrencia de la taquicardia.

Palabras clave:
Taquicardia
Miocardiopatía
Ablación
Radiofre-cuencia

We present a 15-month-old infant with tachycardia-in-duced cardiomyopathy secondary to idiopathic left ven-tricular tachycardia, which was incessant despite medical treatment. In the electrocardiogram, the tachycardia sho-wed right bundle branch morphology and left superior axis deviation and was successfully ablated with the ap-plication of radiofrequency in the inferior apical septal region of the left ventricle. One week after the procedure the shortening fraction increased from 12% to 30% and at 18 months of follow-up the patient is tachycardia-free.

Key words:
Tachycardia
Cardiomyopathy
Ablation
Radiofrequency
El Texto completo está disponible en PDF
Bibliografía
[1.]
H. Nakagawa, K.J. Beckman, J.H. McCelland, X. Wang, M. Arruda, I. Santoro.
Radiofrequency catheter ablation of idiopathic left ventricular tachycardia guided by a Purkinje potential.
Circulation, 88 (1993), pp. 2607-2617
[2.]
M.S. Wen, S.J. Yeh, C.C. Wang, F.C. Lin, I.C. Chen, V. Wu, et al.
Radiofrequency ablation therapy in idiopathic left ventricular tachycardia with no obvious structural heart disease.
Circulation, 89 (1994), pp. 1690-1696
[3.]
A. Garson, P.C. Gillette, J.L. Titus, E. Hawkins, D. Kearney, D. Ott, et al.
Surgical treatment of ventricular tachycardia in infants.
N Engl J Med, 310 (1984), pp. 1443-1445
[4.]
V.L. Zeigler, P.C. Gillette, F.A. Crawford, H.B. Willes, D.A. Fyfe.
New approaches to treatment of incessant ventricular tachycardia in the very young.
J Am Coll Cardiol, 16 (1990), pp. 681-685
[5.]
Y.H. Kim, J. Goldberger, A. Kadish.
Treatment of ventricular tachycardia-induced cardiomyopathy by transcatheter radiofrequency ablation.
Heart, 79 (1996), pp. 550-552
Copyright © 2000. Asociación Española de Pediatría
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