Catheter ablation of ventricular tachycardia induced by injection of acetylcholine in the right coronary artery

J Cardiovasc Electrophysiol. 2010 Dec;21(12):1410-2. doi: 10.1111/j.1540-8167.2010.01760.x.

Abstract

We report the case of a patient who suffered from early morning nonsustained ventricular tachycardia. Clinical ventricular tachycardia without coronary spasm was reproducibly induced only by injection of acetylcholine in the right coronary artery. A good pace mapping site with 30 ms early ventricular activity was present in the right ventricular free wall. After radiofrequency ablation based on electroanatomical mapping, the tachycardia could no longer be induced by intracoronary injection of acetylcholine.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcholine / administration & dosage*
  • Acetylcholine / therapeutic use*
  • Aged
  • Catheter Ablation / methods*
  • Coronary Vessels / drug effects
  • Coronary Vessels / physiology*
  • Female
  • Humans
  • Injections, Intra-Arterial
  • Tachycardia, Ventricular / physiopathology
  • Tachycardia, Ventricular / therapy*

Substances

  • Acetylcholine