Bundle-branch reentrant tachycardia

Authors

  • Helbert Pereira Tomé

Keywords:

Bundle-Branch, Bundle-Branch Block, Bundle-Branch Reentrant Tachycardia, Ventricular Tachycardia, Macroreentry, Catheter Ablation, His-Purkinje System Disease

Abstract

Although the bundle-branch reentrant tachycardia was described about 30 years ago, it is unknown to many cardiologists, and at times it is not identified by electrophysiologists. Probably underdiagnosed, especially in patients with dilated cardiomyopathy, this entity affects patients with lesion of the infra-His system. Identifying this arrhythmia is important to enable curative treatment, decrease the need for antiarrhythmics and minimize appropriate therapies after the implant of an implantable cardiac defibrillator.

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References

1. Caceres J, Jazayeri M, McKinnie J, et al. Sustained bundle branch reentry as a mechanism of clinical tachycardia. Circulation. 1989;79(2):256-70. PMID: 2914345 DOI: http://dx.doi.org/10.1161/01.CIR.79.2.256

2. Blanck Z, Dhala A, Deshpande S, Sra J, Jazayeri M, Akhtar M. Bundle branch reentrant ventricular tachycardia: cumulative experience in 48 patients. J Cardiovasc Electrophysiol. 1993;4(3):253-62.

3. Fisher JD. Bundle branch reentry tachycardia: why is the HV interval often longer than in sinus rhythm? The critical role of anisotropic conduction. J Interv Card Electrophysiol. 2001;5(2):173-6. DOI: http:// dx.doi.org/10.1023/A:1011481508929

4. Asirvatham SJ, Stevenson WG. Editor’s Perspective: Bundles branch reentry. Circ Arrhythm Electrophysiol. 2013;6(6):e92-4. DOI: http:// dx.doi.org/10.1161/CIRCEP.113.001132

5. Issa ZF, Miller JM, Zipes DP, editors. Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald’s Heart Disease. 2nd ed. Philadelphia: Saunders/Elsevier; 2012. 727 p.

6. Wit AL, Wellens HJ, Josephson ME. Electrophysiological Foundations of Cardiac Arrhythmias: A Bridge Between Basic Mechanisms and Clinical Electrophysiology. Minneapolis, Estados Unidos: Cardiotext; 2017. 672 p.

7. Denker S, Lehmann M, Mahmud R, Gilbert C, Akhtar M. Facilitation of ventricular tachycardia induction with abrupt changes in ventricular cycle length. Am J Cardiol. 1984;53(4):508-15. PMID: 6198893 DOI: http://dx.doi.org/10.1016/0002-9149(84)90022-5

8. Kusa S, Taniguchi H, Hachiya H, et al. Bundle branch reentrant ventricular tachycardia with wide and narrow QRS morphology. Circ Arrhythm Electrophysiol. 2013;6(6):e87-91. DOI: http://dx.doi.org/10.1161/ CIRCEP.113.000119

9. Simons GR, Sorrentino RA, Zimerman LI, Wharton MJ, Natale A. Bundle branch reentry tachycardia and possible sustained interfascicular reentry tachycardia with a shared unusual induction pattern. J Cardiovasc Electrophysiol. 1996;7(1):44-50. DOI: http://dx.doi. org/10.1111/j.1540-8167.1996.tb00459.x

10. Blanck Z, Jazayeri M, Akhtar M. Facilitation of sustained bundle branch reentry by atrial fibrillation. J Cardiovasc Electrophysiol. 1996;7(4):348- 52. DOI: http://dx.doi.org/10.1111/j.1540-8167.1996.tb00536.x

11. Mizusawa Y, Sakurada H, Nishizaki M, Ueda-Tatsumoto A, Fukamizu S, Hiraoka M. Characteristics of bundle branch reentrant ventricular tachycardia with a right bundle branch block configuration: feasibility of atrial pacing. Europace. 2009;11(9):1208-13. DOI: http://dx.doi. org/10.1093/europace/eup206

12. Blanck Z, Jazayeri M, Dhala A, Deshpande S, Sra J, Akhtar M. Bundle branch reentry: a mechanism of ventricular tachycardia in the absence of myocardial or valvular dysfunction. J Am Coll Cardiol. 1993;22(6):1718-22. PMID: 8227845 DOI: http://dx.doi.org/10.1016/0735-1097(93)90602-W

13. Narasimhan C, Jazayeri MR, Sra J, et al. Ventricular tachycardia in valvular heart disease: facilitation of sustained bundle-branch reentry by valve surgery. Circulation. 1997;96(12):4307-13. DOI: http://dx.doi. org/10.1161/01.CIR.96.12.4307

14. Li YG, Grönefeld G, Israel C, Bogun F, Hohnloser SH. Bundle branch reentrant tachycardia in patients with apparent normal His-Purkinje conduction: the role of functional conduction impairment. J Cardiovasc Electrophysiol. 2002;13(12):1233-9. DOI: http://dx.doi.org/10.1046/ j.1540-8167.2002.01233.x

15. Schmidt B, Tang M, Chun KR, et al. Left bundle branch-Purkinje system in patients with bundle branch reentrant tachycardia: lessons from catheter ablation and electroanatomic mapping. Heart Rhythm. 2009;6(1):51-8. DOI: http://dx.doi.org/10.1016/j.hrthm.2008.09.028

16. Fuganti CJ, Melo CS, Moraes Jr AV, et al. Diretrizes Brasileiras de Dispositivos Cardíacos Eletrônicos Implantáveis do Departamento de Estimulação Cardíaca Artificial (DECA) da Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV). Relampa. 2015;28(2 Supl):S1-S62.

17. Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2017;pii: CIR.0000000000000548. doi: 10.1161/CIR.0000000000000548. [Epub ahead of print] DOI: http://dx.doi.org/10.1161/CIR.0000000000000548

18. Kusumoto FM, Calkins H, Boehmer J, et al. HRS/ACC/AHA expert consensus statement on the use of implantable cardioverterdefibrillator therapy in patients who are not included or not well represented in clinical trials. Circulation. 2014;130(1):94-125. PMID: 24815500 DOI: http://dx.doi.org/10.1161/CIR.0000000000000056

19. Priori SG, Blomström-Lundqvist C, Mazzanti A, et al.; ESC Scientific Document Group. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015;36(41):2793-867.

Published

01-04-2018

How to Cite

Tomé, H. P. . (2018). Bundle-branch reentrant tachycardia. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(2), 62–66. Retrieved from https://jca.org.br/jca/article/view/59

Issue

Section

Electrophysiology

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