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Trans-2,3-enoyl-CoA reductase-like-related catecholaminergic polymorphic ventricular tachycardia with regular ventricular tachycardia and response to flecainide.
Journal of Cardiovascular Electrophysiology 2023 September
INTRODUCTION: We describe a unique case of TECRL-CPVT presented with cardiac arrest.
METHODS: Post resuscitation, the patient developed regular ventricular tachycardia featuring a left purkinje system morphology.
RESULTS: There was clear suppression of arrhythmia with the addition of flecainide and isolated ventricular ectopy causing secondary T-wave changes.
CONCLUSION: A high index of suspicion was required to eventually make the diagnosis through whole exome sequencing.
METHODS: Post resuscitation, the patient developed regular ventricular tachycardia featuring a left purkinje system morphology.
RESULTS: There was clear suppression of arrhythmia with the addition of flecainide and isolated ventricular ectopy causing secondary T-wave changes.
CONCLUSION: A high index of suspicion was required to eventually make the diagnosis through whole exome sequencing.
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