The coexistence of Wolff-Parkinson-White syndrome (WPW) and atrioventricular nodal reentrant tachycardia (AVNRT)

Autor: Ali Elitok, Gökhan Aksan, Mehmet Rasih Sonsöz, Mehmet Tezcan, Özgür Çevrim
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Turkish Journal of Emergency Medicine, Vol 18, Iss 3, Pp 131-133 (2018)
Druh dokumentu: article
ISSN: 2452-2473
DOI: 10.1016/j.tjem.2017.12.002
Popis: Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common type of reentrant paroxysmal supraventricular tachycardia that occurs in the presence of dual AV nodal physiology. Wolff-Parkinson-White (WPW) syndrome is another type of supraventricular tachycardia characterized by short PR intervals, delta waves and wide QRS complexes on the surface electrocardiogram (ECG), reflecting atrioventricular pre-excitation. Uncommonly, AV nodal reentry and accessory pathways can coexist. In this case report, we present a patient who had frequent episodes of palpitation and syncope and recently presented to the emergency department (ED) with the complaint of dizziness. We performed successful radiofrequency (RF) catheter ablation of mitral annulus posterolateral accessory pathway and AVNRT which was the cause of the second tachycardia induced during the same session. Keywords: Atrioventricular nodal reentrant tachycardia, Wolff-Parkinson-White syndrome, Radiofrequency ablation
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