IJRR

International Journal of Research and Review

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Year: 2025 | Month: February | Volume: 12 | Issue: 2 | Pages: 370-375

DOI: https://doi.org/10.52403/ijrr.20250243

Idiopathic Left Ventricular Tachycardia (ILVT) in Children, Co-Incident with Acute Rheumatic Fever

Novi Violona Edwar1, Didik Hariyanto2, Indra Ihsan3, Hauda El Rasyid4

1,2,3Department of Pediatric, Faculty of Medicine, Universitas Andalas / Dr. M. Djamil General Hospital, Padang Indonesia
4Department of Cardiology, Faculty of Medicine, Universitas Andalas / Dr. M. Djamil General Hospital, Padang Indonesia

Corresponding Author: Novi Violona Edwar, MD

ABSTRACT

Idiopathic Left Ventricular Tachycardia (ILVT) is a subtype of IVT characterized by right bundle branch block (RBBB) and left axis deviation (LAD) or right axis deviation (RAD) on an electrocardiogram. Idiopathic LVT predominantly occurs in young males with no underlying structural heart disease, metabolic disorders, or genetic abnormalities. However in this case we report a case of 13 years old male patient who has ventricular tachycardia coincident with acute rheumatic fever that was refractory to common therapies such as amiodarone and cardioversion, but resolved after the insertion of a temporary pacemaker and catheter ablation.

Keywords: Idiopathic left ventricular tachycardia, pediatric arrhythmia, catheter ablation, rheumatic fever.

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