Agarwala Brojendra, Zimmerman Frank J
Department of Pediatrics, Pediatric Cardiology, University of Chicago Medicine and Advocate Children's Heart Institute, Oak Lawn, IL, USA.
J Innov Card Rhythm Manag. 2021 Feb 15;12(2):4391-4393. doi: 10.19102/icrm.2021.120207. eCollection 2021 Feb.
First reported in 1981, idiopathic left ventricular tachycardia (VT) of the Belhassen type is characterized during electrocardiography (ECG) by a right bundle branch pattern and left axis deviation. We report the case of a 15-year-old Hispanic male who, during a routine evaluation ECG to support sports participation, was found to have nonsustained monomorphic VT. Prior to his exercise treadmill test, his physical examination and echocardiogram were normal. Then, during preparation for the exercise treadmill test, the ECG showed sustained monomorphic VT with a right bundle branch block pattern and superior QRS axis, suggesting a diagnosis of Belhassen VT.
1981年首次报道,贝尔哈森型特发性左心室心动过速(VT)在心电图(ECG)上的特征是右束支图形和电轴左偏。我们报告了一名15岁西班牙裔男性的病例,在为支持体育活动进行的常规心电图评估中,发现他有非持续性单形性室性心动过速。在进行运动平板试验之前,他的体格检查和超声心动图均正常。然后,在准备运动平板试验期间,心电图显示持续性单形性室性心动过速,伴有右束支传导阻滞图形和QRS电轴上偏,提示诊断为贝尔哈森室性心动过速。