Tarlet P-Y, Elmkies F, Lachambre P, Zerah T, Clerc J, Meimoun P
CHIC Compiègne, Service de Cardiologie, Oise, France.
CHIC Compiègne, Service de Cardiologie, Oise, France.
Ann Cardiol Angeiol (Paris). 2025 Nov;74(5):101930. doi: 10.1016/j.ancard.2025.101930. Epub 2025 Sep 20.
We report the case of a 75-year-old female patient who was evaluated for an exertional syncope, revealing an infundibular ventricular tachycardia. The diagnosis was made possible by the implantation of a loop recorder, which detected frequent episodes of non-sustained ventricular tachycardia. Radiofrequency ablation guided by a three-dimensional mapping system led to the complete suppression of the arrhythmias. This case highlights the value of implantable monitoring tools in the etiological diagnosis of syncope, the importance of obtaining a 12-lead ECG during the arrhythmia to determine its origin, and the role of three-dimensional mapping systems in the diagnosis and treatment of idiopathic ventricular arrhythmias.
我们报告了一例75岁女性患者，该患者因劳力性晕厥接受评估，结果显示为漏斗部室性心动过速。通过植入环路记录器得以确诊，该记录器检测到频繁发作的非持续性室性心动过速。在三维标测系统引导下进行的射频消融术使心律失常得到完全抑制。该病例突出了可植入监测工具在晕厥病因诊断中的价值、在心律失常发作期间获取12导联心电图以确定其起源的重要性，以及三维标测系统在特发性室性心律失常诊断和治疗中的作用。
