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Bidirectional tachycardia

MedGen UID:
418944
Concept ID:
C2930902
Disease or Syndrome
Synonym: Bidirectional ventricular tachycardia
SNOMED CT: Bidirectional ventricular tachycardia (1204171000)
 
HPO: HP:0034040
Monarch Initiative: MONDO:0022568

Definition

Bidirectional ventricular tachycardia (BDVT) is a regular ventricular tachyarrhythmia (VT) with two different QRS morphologies alternating at a rate typically between 140 and 180 bpm. [from HPO]

Term Hierarchy

Conditions with this feature

Catecholaminergic polymorphic ventricular tachycardia 1
MedGen UID:
351513
Concept ID:
C1631597
Disease or Syndrome
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is characterized by episodic syncope occurring during exercise or acute emotion. The underlying cause of these episodes is the onset of fast ventricular tachycardia (bidirectional or polymorphic). Spontaneous recovery may occur when these arrhythmias self-terminate. In other instances, ventricular tachycardia may degenerate into ventricular fibrillation and cause sudden death if cardiopulmonary resuscitation is not readily available. The mean onset of symptoms (usually a syncopal episode) is between age seven and 12 years; onset as late as the fourth decade of life has been reported. If untreated, CPVT is highly lethal, as approximately 30% of affected individuals experience at least one cardiac arrest and up to 80% have one or more syncopal spells. Sudden death may be the first manifestation of the disease.
Catecholaminergic polymorphic ventricular tachycardia 3
MedGen UID:
462813
Concept ID:
C3151463
Disease or Syndrome
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is characterized by episodic syncope occurring during exercise or acute emotion. The underlying cause of these episodes is the onset of fast ventricular tachycardia (bidirectional or polymorphic). Spontaneous recovery may occur when these arrhythmias self-terminate. In other instances, ventricular tachycardia may degenerate into ventricular fibrillation and cause sudden death if cardiopulmonary resuscitation is not readily available. The mean onset of symptoms (usually a syncopal episode) is between age seven and 12 years; onset as late as the fourth decade of life has been reported. If untreated, CPVT is highly lethal, as approximately 30% of affected individuals experience at least one cardiac arrest and up to 80% have one or more syncopal spells. Sudden death may be the first manifestation of the disease.

Professional guidelines

PubMed

Alvarado-Alvarado JA, Salas-Villela RA, Reyes-Guerrero JA, Ezquerra-Osorio A
Arch Cardiol Mex 2022;92(4):550-552. doi: 10.24875/ACM.21000262. PMID: 36413700Free PMC Article

Recent clinical studies

Etiology

Bhavnani SP, Clyne CA
Ann Noninvasive Electrocardiol 2012 Oct;17(4):405-8. Epub 2012 Aug 13 doi: 10.1111/j.1542-474X.2012.00520.x. PMID: 23094889Free PMC Article
Khan IA
Angiology 2002 Sep-Oct;53(5):593-8. doi: 10.1177/000331970205300515. PMID: 12365869

Diagnosis

Almarzuqi A, Kimber S, Quadros K, Senaratne J
Vasc Health Risk Manag 2022;18:397-406. Epub 2022 Jun 7 doi: 10.2147/VHRM.S274857. PMID: 35698640Free PMC Article
Ünal Yüksekgönül A, Azak E, Akalın A, Ertuğrul İ, Kılıç E, Utine GE, Karagöz T
Eur J Med Genet 2022 Jun;65(6):104499. Epub 2022 Apr 14 doi: 10.1016/j.ejmg.2022.104499. PMID: 35429663
Serra JL, Caresani JA, Bono JO
Ann Noninvasive Electrocardiol 2014 Jan;19(1):90-2. Epub 2013 Nov 5 doi: 10.1111/anec.12081. PMID: 24192425Free PMC Article
Br Med J 1967 Mar 25;1(5542):713-4. PMID: 6020086Free PMC Article
CHEVALIER RB
Am J Cardiol 1962 Jan;9:86-9. doi: 10.1016/0002-9149(62)90101-7. PMID: 13878816

Therapy

Almarzuqi A, Kimber S, Quadros K, Senaratne J
Vasc Health Risk Manag 2022;18:397-406. Epub 2022 Jun 7 doi: 10.2147/VHRM.S274857. PMID: 35698640Free PMC Article
Serra JL, Caresani JA, Bono JO
Ann Noninvasive Electrocardiol 2014 Jan;19(1):90-2. Epub 2013 Nov 5 doi: 10.1111/anec.12081. PMID: 24192425Free PMC Article
Nogrady S, Nikolić G
Heart Lung 1998 Mar-Apr;27(2):149-50. doi: 10.1016/s0147-9563(98)90024-3. PMID: 9548072
Chia BL, Ghosh MB, Tay HH
Med J Aust 1971 Apr 24;1(17):903-4. doi: 10.5694/j.1326-5377.1971.tb87933.x. PMID: 5576805
Dolara A, Manetti A, Pozzi L, Tordini G
Cardiology 1971 Sep-Oct;55(5):302-9. doi: 10.1159/000169293. PMID: 4399168

Prognosis

Bhavnani SP, Clyne CA
Ann Noninvasive Electrocardiol 2012 Oct;17(4):405-8. Epub 2012 Aug 13 doi: 10.1111/j.1542-474X.2012.00520.x. PMID: 23094889Free PMC Article
Khan IA
Angiology 2002 Sep-Oct;53(5):593-8. doi: 10.1177/000331970205300515. PMID: 12365869
Fukuda K, Ogawa S, Yokozuka H, Handa S, Nakamura Y
J Electrocardiol 1988 Jan;21(1):71-5. doi: 10.1016/s0022-0736(88)80026-8. PMID: 3351412
Br Med J 1967 Mar 25;1(5542):713-4. PMID: 6020086Free PMC Article
Dao C, Kung LS, Li C, Yang C
Chin Med J 1966 Jun;85(6):391-6. PMID: 5875151

Clinical prediction guides

Kulahcioglu S, Baysal PK, Kup A, Imanov E, Uslu A, Demir S, Gulsen K
Pacing Clin Electrophysiol 2021 Dec;44(12):2115-2118. Epub 2021 Aug 22 doi: 10.1111/pace.14337. PMID: 34390012
Xie Y, Han J, Liu J, Hao J, Zu X, Hao Y
J Int Med Res 2020 Nov;48(11):300060520971440. doi: 10.1177/0300060520971440. PMID: 33213242Free PMC Article
Inoue YY, Aiba T, Kawata H, Sakaguchi T, Mitsuma W, Morita H, Noda T, Takaki H, Toyohara K, Kanaya Y, Itoi T, Mitsuhashi T, Sumitomo N, Cho Y, Yasuda S, Kamakura S, Kusano K, Miyamoto Y, Horie M, Shimizu W
Europace 2018 Oct 1;20(10):1675-1682. doi: 10.1093/europace/eux351. PMID: 29309601
Lu CW, Lin JH, Rajawat YS, Jerng H, Rami TG, Sanchez X, DeFreitas G, Carabello B, DeMayo F, Kearney DL, Miller G, Li H, Pfaffinger PJ, Bowles NE, Khoury DS, Towbin JA
J Med Genet 2006 Aug;43(8):653-9. Epub 2006 Mar 29 doi: 10.1136/jmg.2006.040816. PMID: 16571646Free PMC Article
Chia BL
Angiology 1981 Sep;32(9):630-8. doi: 10.1177/000331978103200907. PMID: 7283201

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