U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Fascicular left ventricular tachycardia

MedGen UID:
1636662
•Concept ID:
C4703472
•
Disease or Syndrome
HPO: HP:0031675

Definition

A ventricular tachycardia (VT) characterized by right bundle branch block (RBBB) and left axis deviation (LAD) on electrocardiogram (ECG). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFascicular left ventricular tachycardia

Professional guidelines

PubMed

Left Fascicular Ventricular Tachycardia: What Is Forgotten in the Differential Diagnosis?
Ali H, Scheinman MM, Higuchi S, Cappato R
Circ Arrhythm Electrophysiol 2024 Feb;17(2):e012561. Epub 2024 Jan 26 doi: 10.1161/CIRCEP.123.012561. PMID: 38275121

Recent clinical studies

Etiology

Comparison of strategies for catheter ablation of left posterior fascicular ventricular tachycardia.
Wei HQ, Chen W, Luo S, Liao Z, Fang X, Liao H, Sun Q, Guo XG, Yang JD, Liang JJ, Wu S, Xue Y, Ma J, Zhan X
Europace 2023 Nov 2;25(11) doi: 10.1093/europace/euad339. PMID: 37971899Free PMC Article
Idiopathic left fascicular ventricular tachycardia in children and adolescents.
Velázquez-Rodríguez E, García-Hernández N, Silva-Oropeza E, Jiménez-Arteaga S, Martínez-Sánchez A, Alva-Espinoza C, David-Gómez F, Yáñez-Gutiérrez L
Bol Med Hosp Infant Mex 2022;79(4):248-258. doi: 10.24875/BMHIM.21000222. PMID: 36100212
Catheter ablation for fascicular ventricular tachycardia: A systematic review.
Creta A, Chow AW, Sporton S, Finlay M, Papageorgiou N, Honarbakhsh S, Dhillon G, Graham A, Patel KHK, Dhinoja M, Earley MJ, Hunter RJ, Lowe M, Rowland E, Segal OR, Calabrese V, Ricciardi D, Lambiase PD, Schilling RJ, Providência R
Int J Cardiol 2019 Feb 1;276:136-148. Epub 2018 Oct 25 doi: 10.1016/j.ijcard.2018.10.080. PMID: 30463682
Lead aVR--the neglected lead.
Chenniappan M, Sankar RU, Saravanan K, Karthikeyan
J Assoc Physicians India 2013 Sep;61(9):650-4. PMID: 24772703
Idiopathic left ventricular tachycardia: assessment and treatment.
Nogami A
Card Electrophysiol Rev 2002 Dec;6(4):448-57. doi: 10.1023/a:1021100828459. PMID: 12438827

Diagnosis

Comparison of strategies for catheter ablation of left posterior fascicular ventricular tachycardia.
Wei HQ, Chen W, Luo S, Liao Z, Fang X, Liao H, Sun Q, Guo XG, Yang JD, Liang JJ, Wu S, Xue Y, Ma J, Zhan X
Europace 2023 Nov 2;25(11) doi: 10.1093/europace/euad339. PMID: 37971899Free PMC Article
Purkinje-Related Ventricular Tachycardia and Ventricular Fibrillation: Solved and Unsolved Questions.
Nogami A, Komatsu Y, Talib AK, Phanthawimol W, Naeemah QJ, Haruna T, Morishima I
JACC Clin Electrophysiol 2023 Oct;9(10):2172-2196. Epub 2023 Jul 26 doi: 10.1016/j.jacep.2023.05.040. PMID: 37498247
Fascicular Ventricular Tachycardias: Potential Role of the Septal Fascicle.
Wong CX, Nogami A, Hsia HH, Higuchi S, Scheinman MM
JACC Clin Electrophysiol 2023 Aug;9(8 Pt 2):1604-1620. Epub 2023 May 21 doi: 10.1016/j.jacep.2023.05.001. PMID: 37256250
Idiopathic left fascicular ventricular tachycardia in children and adolescents.
Velázquez-Rodríguez E, García-Hernández N, Silva-Oropeza E, Jiménez-Arteaga S, Martínez-Sánchez A, Alva-Espinoza C, David-Gómez F, Yáñez-Gutiérrez L
Bol Med Hosp Infant Mex 2022;79(4):248-258. doi: 10.24875/BMHIM.21000222. PMID: 36100212
Mapping and Ablation of Fascicular Tachycardias (Reentrant and Nonreentrant).
Talib AK, Shenasa M
Card Electrophysiol Clin 2019 Dec;11(4):609-623. doi: 10.1016/j.ccep.2019.08.004. PMID: 31706469

Therapy

Comparison of strategies for catheter ablation of left posterior fascicular ventricular tachycardia.
Wei HQ, Chen W, Luo S, Liao Z, Fang X, Liao H, Sun Q, Guo XG, Yang JD, Liang JJ, Wu S, Xue Y, Ma J, Zhan X
Europace 2023 Nov 2;25(11) doi: 10.1093/europace/euad339. PMID: 37971899Free PMC Article
Idiopathic left fascicular ventricular tachycardia in children and adolescents.
Velázquez-Rodríguez E, García-Hernández N, Silva-Oropeza E, Jiménez-Arteaga S, Martínez-Sánchez A, Alva-Espinoza C, David-Gómez F, Yáñez-Gutiérrez L
Bol Med Hosp Infant Mex 2022;79(4):248-258. doi: 10.24875/BMHIM.21000222. PMID: 36100212
New Insights on Verapamil-Sensitive Idiopathic Left Fascicular Tachycardia.
Michowitz Y, Belhassen B
J Electrocardiol 2018 Sep-Oct;51(5):874-878. Epub 2018 Jun 18 doi: 10.1016/j.jelectrocard.2018.06.007. PMID: 30177332
Cellular Physiology and Clinical Manifestations of Fascicular Arrhythmias in Normal Hearts.
Sung RK, Boyden PA, Scheinman M
JACC Clin Electrophysiol 2017 Dec 11;3(12):1343-1355. Epub 2017 Sep 27 doi: 10.1016/j.jacep.2017.07.011. PMID: 29759663
Idiopathic verapamil-sensitive sustained left ventricular tachycardia.
Ohe T
Clin Cardiol 1993 Feb;16(2):139-41. doi: 10.1002/clc.4960160211. PMID: 8435927

Prognosis

Idiopathic left fascicular ventricular tachycardia in children and adolescents.
Velázquez-Rodríguez E, García-Hernández N, Silva-Oropeza E, Jiménez-Arteaga S, Martínez-Sánchez A, Alva-Espinoza C, David-Gómez F, Yáñez-Gutiérrez L
Bol Med Hosp Infant Mex 2022;79(4):248-258. doi: 10.24875/BMHIM.21000222. PMID: 36100212
Clinical, electrocardiographic, and electrophysiological characteristics of left upper septal fascicular ventricular tachycardia.
Guo XG, Liu X, Zhou GB, Sun Q, Yang JD, Luo B, Ouyang F, Ma J, Zhang S
Europace 2018 Apr 1;20(4):673-681. doi: 10.1093/europace/euw429. PMID: 28160481
Lead aVR--the neglected lead.
Chenniappan M, Sankar RU, Saravanan K, Karthikeyan
J Assoc Physicians India 2013 Sep;61(9):650-4. PMID: 24772703
Idiopathic left ventricular tachycardia: assessment and treatment.
Nogami A
Card Electrophysiol Rev 2002 Dec;6(4):448-57. doi: 10.1023/a:1021100828459. PMID: 12438827
Idiopathic verapamil-sensitive sustained left ventricular tachycardia.
Ohe T
Clin Cardiol 1993 Feb;16(2):139-41. doi: 10.1002/clc.4960160211. PMID: 8435927

Clinical prediction guides

Fascicular Ventricular Tachycardias: Potential Role of the Septal Fascicle.
Wong CX, Nogami A, Hsia HH, Higuchi S, Scheinman MM
JACC Clin Electrophysiol 2023 Aug;9(8 Pt 2):1604-1620. Epub 2023 May 21 doi: 10.1016/j.jacep.2023.05.001. PMID: 37256250
Idiopathic left fascicular ventricular tachycardia in children and adolescents.
Velázquez-Rodríguez E, García-Hernández N, Silva-Oropeza E, Jiménez-Arteaga S, Martínez-Sánchez A, Alva-Espinoza C, David-Gómez F, Yáñez-Gutiérrez L
Bol Med Hosp Infant Mex 2022;79(4):248-258. doi: 10.24875/BMHIM.21000222. PMID: 36100212
Catheter ablation for fascicular ventricular tachycardia: A systematic review.
Creta A, Chow AW, Sporton S, Finlay M, Papageorgiou N, Honarbakhsh S, Dhillon G, Graham A, Patel KHK, Dhinoja M, Earley MJ, Hunter RJ, Lowe M, Rowland E, Segal OR, Calabrese V, Ricciardi D, Lambiase PD, Schilling RJ, Providência R
Int J Cardiol 2019 Feb 1;276:136-148. Epub 2018 Oct 25 doi: 10.1016/j.ijcard.2018.10.080. PMID: 30463682
Clinical, electrocardiographic, and electrophysiological characteristics of left upper septal fascicular ventricular tachycardia.
Guo XG, Liu X, Zhou GB, Sun Q, Yang JD, Luo B, Ouyang F, Ma J, Zhang S
Europace 2018 Apr 1;20(4):673-681. doi: 10.1093/europace/euw429. PMID: 28160481
Lead aVR--the neglected lead.
Chenniappan M, Sankar RU, Saravanan K, Karthikeyan
J Assoc Physicians India 2013 Sep;61(9):650-4. PMID: 24772703

Recent systematic reviews

Catheter ablation for fascicular ventricular tachycardia: A systematic review.
Creta A, Chow AW, Sporton S, Finlay M, Papageorgiou N, Honarbakhsh S, Dhillon G, Graham A, Patel KHK, Dhinoja M, Earley MJ, Hunter RJ, Lowe M, Rowland E, Segal OR, Calabrese V, Ricciardi D, Lambiase PD, Schilling RJ, Providência R
Int J Cardiol 2019 Feb 1;276:136-148. Epub 2018 Oct 25 doi: 10.1016/j.ijcard.2018.10.080. PMID: 30463682
Clinical utility of aVR-The neglected electrocardiographic lead.
Kireyev D, Arkhipov MV, Zador ST, Paris JA, Boden WE
Ann Noninvasive Electrocardiol 2010 Apr;15(2):175-80. doi: 10.1111/j.1542-474X.2010.00359.x. PMID: 20522059Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...