A wide QRS tachycardia with the short and long ventriculoatrial interval in the presence of an atriofascicular pathway: What is the mechanism?

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Küçük Resim

Tarih

2022

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Wiley

Erişim Hakkı

info:eu-repo/semantics/embargoedAccess

Özet

A 58-year-old man with no structural heart disease presented with recurrent episodes of paroxysmal palpitation. In the electrophysiology laboratory, during the introduction of the venous sheaths and catheters, the patient had spontaneous sustained wide complex tachycardia (WCT) with left bundle branch block (LBBB) morphology. The responses to septal refractory atrial premature complexes (APC) from the lateral right atrium (Figure 1), and ventricular premature complexes (VPC) (Figure 2) were consistent with the atriofascicular (AF) accessory pathway (AP). However, during WCT, a transient atrioventricular (AV) block (Figure 3) with short and long ventriculoatrial (VA) intervals (Figure 4) was also observed. What could be the mechanism of this WCT without 1:1 AV conduction (Figure 3) and change in the VA interval (Figure 4) in a patient with an overt AF pathway?

Açıklama

Anahtar Kelimeler

Atriofascicular, His Refractory Premature Atrial Complex, LBBB Tachycardia, Longitudinal Dissociation, Mahaim, Ventricular Tachycardia

Kaynak

Journal of Cardiovascular Electrophysiology

WoS Q Değeri

Q3

Scopus Q Değeri

Q1

Cilt

33

Sayı

11

Künye

Özcan Çetin, E. H., Kara, M., Merovci, I., Külekçi, F., Okumuş, K., Sağlam, O. ... Topaloğlu, S. (2022). A wide QRS tachycardia with the short and long ventriculoatrial interval in the presence of an atriofascicular pathway: What is the mechanism? Journal of Cardiovascular Electrophysiology, 33(11), 2398-2402. https://doi.org/10.1111/jce.15688