Document Type
Article
Publication Date
1-15-2025
Abstract
We describe a rare case of upper septal fascicular ventricular tachycardia (VT) associated with takotsubo syndrome that failed to convert with synchronized shock but converted to normal sinus rhythm after intravenous adenosine administration. The excess catecholamine state of takotsubo syndrome likely provided substrate for cyclic adenosine monophosphate–mediated triggered activity, causing fascicular VT.
Recommended Citation
O'Neill, Parker; Underberg, Daniel; Ho, Reginald; Farzad, Darius; and Marhefka, Gregary, "Adenosine-Sensitive Upper Septal Fascicular Ventricular Tachycardia Associated With Takotsubo Syndrome" (2025). Department of Medicine Faculty Papers. Paper 480.
https://jdc.jefferson.edu/medfp/480
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Language
English
Included in
Cardiology Commons, Cardiovascular Diseases Commons, Chemical and Pharmacologic Phenomena Commons, Chemicals and Drugs Commons, Diagnosis Commons
Comments
This article is the author's final published version in JACC: Case Reports, Volume 30, Issue 2, January 2025, Article number 102811.
The published version is available at https://doi.org/10.1016/j.jaccas.2024.102811.
Copyright © 2025 The Authors