?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Idiopathic+Fascicular+Ventricular+Tachycardia%0A%0A&rft.creator=Francis%2C+Johnson&rft.creator=K%2C+Venugopal&rft.creator=SA%2C+Khadar&rft.creator=N%2C+Sudhayakumar&rft.creator=Gupta%2C+Anoop+K&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Idiopathic+fascicular+ventricular+tachycardia+is+an+important+cardiac+arrhythmia+with+specific+electrocardiographic+features+and+therapeutic+options.+It+is+characterized+by+relatively+narrow+QRS+complex+and+right+bundle+branch+block+pattern.+The+QRS+axis+depends+on+which+fascicle+is+involved+in+the+re-entry.+Left+axis+deviation+is+noted+with+left+posterior+fascicular+tachycardia+and+right+axis+deviation+with+left+anterior+fascicular+tachycardia.+A+left+septal+fascicular+tachycardia+with+normal+axis+has+also+been+described.+Fascicular+tachycardia+is+usually+seen+in+individuals+without+structural+heart+disease.+Response+to+verapamil+is+an+important+feature+of+fascicular+tachycardia.++Rare+instances+of+termination+with+intravenous+adenosine+have+also+been+noted.+A+presystolic+or+diastolic+potential+preceding+the+QRS%2C+presumed+to+originate+from+the+Purkinje+fibers+can+be+recorded+during+sinus+rhythm+and+ventricular+tachycardia+in+many+patients+with+fascicular+tachycardia.+This+potential+(P+potential)+has+been+used+as+a+guide+to+catheter+ablation.+Prompt+recognition+of+fascicular+tachycardia+especially+in+the+emergency+department+is+very+important.+It+is+one+of+the+eminently+ablatable+ventricular+tachycardias.+Primary+ablation+has+been+reported+to+have+a+higher+success%2C+lesser+procedure+time+and+fluoroscopy+time.%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2004-07&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F4190%2F1%2Ffrancis4.pdf&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4190%2F2%2Ffrancis4.htm&rft.identifier=++Francis%2C+Johnson+and+K%2C+Venugopal+and+SA%2C+Khadar+and+N%2C+Sudhayakumar+and+Gupta%2C+Anoop+K++(2004)+Idiopathic+Fascicular+Ventricular+Tachycardia.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4190%2F