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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dc.contributor.authorÖzcan Çetin, Elif Hande
dc.contributor.authorKara, Meryem
dc.contributor.authorMerovci, Idriz
dc.contributor.authorKülekçi, Furkan
dc.contributor.authorOkumuş, Kübra
dc.contributor.authorSağlam, Onur
dc.contributor.authorTemizhan, Ahmet Yiğit
dc.contributor.authorKorkmaz, Ahmet
dc.contributor.authorÖzeke, Özcan
dc.contributor.authorÇay, Serkan
dc.contributor.authorÖzcan, Fırat
dc.contributor.authorAras, Dursun
dc.contributor.authorTopaloğlu, Serkan
dc.date.accessioned2022-12-15T09:20:05Z
dc.date.available2022-12-15T09:20:05Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractA 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?
dc.identifier.citationÖzcan 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
dc.identifier.doi10.1111/jce.15688
dc.identifier.endpage2402
dc.identifier.issn1045-3873
dc.identifier.issn1540-8167
dc.identifier.issue11
dc.identifier.pmid36150138
dc.identifier.scopus2-s2.0-85139169815
dc.identifier.scopusqualityQ1
dc.identifier.startpage2398
dc.identifier.urihttps://doi.org/10.1111/jce.15688
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10127
dc.identifier.volume33
dc.identifier.wos000862993400001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAras, Dursun
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of Cardiovascular Electrophysiologyen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAtriofascicular
dc.subjectHis Refractory Premature Atrial Complex
dc.subjectLBBB Tachycardia
dc.subjectLongitudinal Dissociation
dc.subjectMahaim
dc.subjectVentricular Tachycardia
dc.titleA wide QRS tachycardia with the short and long ventriculoatrial interval in the presence of an atriofascicular pathway: What is the mechanism?
dc.typeEditorial

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