Years of palpitations and a heart rate of 213 beats per minute

Abstract

Key Clinical MessageBelhassen tachycardia is the most common idiopathic ventricular tachycardia arising from the left ventricle, classically characterized by a right bundle branch block and left axis deviation. Vigilance for Belhassen tachycardia is essential as intravenous verapamil has proven to be highly efficacious for treating symptomatic patients with this underlying arrhythmia.

Belhassen anterior fascicular ventricular tachycardia: a case in a black African

“…This is significant because Purkinje fibers are targeted and guide therapy in acute management of Belhassen tachycardia through the use of verapamil. It is known that idiopathic ventricular tachycardias depend on slow entry calcium in partially depolarized Purkinje fibers, thus making verapamil the ideal first‐line treatment .…”