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European Heart Journal 1990 11(10):949-953;
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Left posterior fascicular tachycardia due to localized microreentry

Y.-T. Tai*,, A. D'Onofrio, J. P. Bourke and R. W. F. Campbell

Academic Department of Cardiology, Freeman Hospital Newcastle-upon-Tyne, U.K.

Received 13 April 1989; revised 21 November 1989; .

Address for Correspondence: Dr Y. T. Tai, University Department of Medicine, Professorial Block, Queen Mary Hospital, Pokfulam Road, Hong Kong.

Abstract

Fascicular tachycardia in young patients without overt heart disease constitutes a rare but electrophysiologically distinct arrhythmia entity. Microreentry within the left posterior fascicle has been proposed as its mechanism, but evidence for this is inconclusive. This report details a patient with incessant fascicular tachycardia. The electrophysiological features, in particular the pattern of resetting response, provided strong evidence for reentry as the tachycardia mechanism. Satisfactory long-term arrhythmia control was achieved with flecainide.

Key Words: Fascicular tachycardia • microreentry • electrophysiological study


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