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J Electrocardiol. 2007;40(6):535-8.

Typical atrioventricular nodal reentrant tachycardia in a patient with fasciculoventricular pathway.

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제1저자 최윤식 · 교신저자 오세일

소속 (1)
  1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea.

Abstract

We report a 34-year-old female patient with preexcitation electrocardiogram and recurrent paroxysmal palpitations. Standard 12-lead electrocardiogram showed minimal preexcitation with normal PR interval and normal frontal QRS axis. The electrophysiologic study showed normal AH intervals, short HV intervals, and no change in the degree of preexcitation by rapid atrial pacing. These findings were compatible with the fasciculoventricular pathway. Typical atrioventricular nodal reentrant tachycardia with narrow QRS complex and normal HV interval was induced reproducibly by programmed electrical stimulation. Slow pathway was ablated successfully with radiofrequency catheter ablation, and then the patient remained asymptomatic during a follow-up of 12 months. Although the fasciculoventricular pathway is rare and supraventricular tachycardia in a patient with fasciculoventricular pathway may mimic Wolff-Parkinson-White syndrome, possibility of typical atrioventricular nodal reentrant tachycardia with fasciculoventricular pathway should be considered as a mechanism of supraventricular tachycardia in a patient showing preexcitation electrocardiogram.

그 밖의 정보
출판 형태
Case Reports, Journal Article
저널
Journal of electrocardiology · eISSN 1532-8430
전자 출판
2007-07-31
MeSH
Adult · Bundle-Branch Block / complications / diagnosis · Electrocardiography* · Female · Heart Conduction System / abnormalities · Humans · Tachycardia, Atrioventricular Nodal Reentry / diagnosis / etiology