A wide QRS complex tachycardia utilizing an atypical accessory pathway in latent Wolff-Parkinson-White syndrome: Manifestation of anterograde conduction during atrial fibrillation without delta waves in sinus rhythm
| Autor: | Kensuke Matsumoto, Ken-ichi Hirata, Jun Kurose, Toshihiro Nakamura, Hideya Suehiro, Koji Fukuzawa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Tachycardia
medicine.medical_specialty medicine.medical_treatment Delta wave Wide QRS complex Case Report Catheter ablation Accessory pathway 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Latent preexcitation Internal medicine medicine Sinus rhythm cardiovascular diseases 030212 general & internal medicine business.industry Wolff-Parkinson-White syndrome Atrial fibrillation medicine.disease Ventricular fibrillation cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | HeartRhythm Case Reports |
| ISSN: | 2214-0271 |
| Popis: | Atrial fibrillation (AF) may be fatal in patients that have accessory pathways (APs) with fast anterograde conduction. In some individuals, however, conduction across the AP may not be observed during sinus rhythm despite the presence of a pathway capable of rapid anterograde conduction. This unique and interesting pathway was previously reported as a latent AP.1 Here, we would like to describe a case in which preexcitation was not visible on the resting electrocardiogram (ECG) and anterograde AP conduction was manifested only during the tachycardia or rapid atrial rates and was diagnosed as at high risk for the development of ventricular fibrillation (VF). |
| Databáze: | OpenAIRE |
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