Successful ablation of incessant narrow-QRS ventricular tachycardia involving the His–Purkinje system: Insights from manifest entrainment
Konstantin Krieger, Alexander Wutzler · 2026
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Description
Konstantin Krieger and Alexander Wutzler reported a heart rhythm case in 2026 where burning a small spot stopped a nonstop fast heartbeat. The rhythm looked narrow on the tracing, which often points above the lower heart chambers. In people with heart disease, though, it can start in those chambers near the wiring system, as it did here.
Detailed mapping and pacing tests pinned down the circuit near the heart's central wiring. One pacing result, called manifest entrainment, still marked a key spot because the tissue there was captured and the rhythm later stopped at ablation. To protect the wiring, the team burned from the far side of the wall between the chambers. The rhythm ended, and the report lists teaching points.
Catalog record
| CREATOR | Konstantin Krieger, Alexander Wutzler |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 16 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |