Wide complex tachycardia with negative precordial concordance: All that glitters is not gold
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info:eu-repo/semantics/openAccessTarih
2024Yazar
Kara, MeryemÖzcan Çetin, Elif Hande
Koçyiğit Burunkaya, Duygu
Merovci, İdriz
Kuş, Görkem
Can, İrem Dilara
Aksoy, Atik
Korkmaz, Ahmet
Özcan, Fırat
Çay, Serkan
Özeke, Özcan
Aras, Dursun
Topaloğlu, Serkan
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Kara, M., Özcan Çetin, E. H., Koçyiğit Burunkaya, D., Merovci, İ., Kuş, G., Can, İ. D. ... Topaloğlu, S. (2024). Wide complex tachycardia with negative precordial concordance: All that glitters is not gold. Journal of Cardiovascular Electrophysiology, 35(5), 1033-1037. http://dx.doi.org/10.1111/jce.16239Özet
A 38‐year‐old woman with recurrent palpitations and no structuralheart disease presented with a documented wide QRS complextachycardia (WCT) with negative concordance (Figure 1). There wasno significant past medical history, and the clinical examination wasutterly unremarkable. A standard electrophysiologic study wasperformed using multipolar‐electrode catheters positioned in thehigh right atrium, His bundle, right ventricular apex, and coronarysinus. Parihisian pacing was compatible with a nodal response. Then,spontaneously, the induced narrow‐QRS tachycardia (NCT) (Figure 2)was followed by a WCT (Figure 3), identical to the patient's clinicaltachycardia (Figure 1). What is the tachycardia mechanism?
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Journal of Cardiovascular ElectrophysiologyCilt
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