The case of a 45-year-old man suffering from a catecholamine-sensitive ventricular tachycardia originating from the right ventricular outflow tract is reported. The authors describe a novel noninvasive treatment strategy for the management of this patient.
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References
1.
Gallaverdin L: Extrasystolie ventriculaire a poroxysmes tachycardiques prolonges. Arch Mal Coeur15:298-306, 1922.
2.
Ritchie AH, Kerr QA, Yeung-Lai-Wah JA, et al: Non-sustained ventricular tachycardia arising from the right ventricular outflow tract. Am J Cardiol64:594-598, 1989.
3.
Lemery R, Brugada P, Bella PD, et al: Nonischemic ventricular tachycardia: Clinical course and long-term follow-up in patients without clinically overt heart disease. Circulation79:990-999, 1989.
4.
Wesley RC, Taylor R, Nadamanee K: Catecholamine-sensitive right ventricular tachycardia in the absence of structural heart disease: A mechanism of exercise-induced cardiac arrest. Cardiology79:237-243, 1991.
5.
Palileo EV, Ashley WW, Swiryn S, et al: Exercise-provocable right ventricular outflow tract tachycardia. Am Heart J104:185-193, 1982.
6.
Lerman BB, Stein K, Engelskin ED, et al: Mechanism of repetitive monomorphic ventricular tachycardia. Circulation92:421-429, 1995.
7.
Lerman BB, Stein KM, Markowitz SH, et al: Ventricular arrhythmias in normal hearts. Cardiol Clin18:265-291, 2000.
8.
Lerman BB: Response of nonreentrant catecholamine-mediated ventricular tachycardia to endogenous adenosine and acetylcholine: Evidence for myocardial receptor-mediated effects. Circulation87:382-390, 1993.
9.
Schafers M, Lerch H, Wichter T, et al: Cardiac sympathetic innervation in patients with idiopathic right ventricular outflow tract tachycardia. J Am Coll Cardiol32:181-186, 1998.
10.
Haskell WL: Cardiovascular complications during exercise training of cardiac patients. Circulation57:920-924, 1978.
11.
Dimsdale JE, Hartley LH, Guiney T, et al: Postexercise peril: Plasma catecholamines and exercise. JAMA251:630-632, 1984.
12.
Keul VJ, Lehmann M, Wybitul K: Zur siung von burnitrolol auf hertzfrequenz, metabolishe Grossen bei Korperarbeit und Leistungsverhalten. Arzneim-Goorsh/Drug Res31:1948-1953, 1981.
13.
Kjaer M, Farrell PA, Christensen NJ, et al: Increased epinephrine response and inaccurate glucoregulation in exercising athletes. J Appl Physiol61:1693-1700, 1986.
