Literature DB >> 34241682

Wide QRS complex tachycardia due to typical atrial flutter with accessory pathway conduction.

D Prochnau1, L Gabbert2, V Sauer2, F Küthe2, R Eggers2, A Yilmaz3.   

Abstract

A 62-year-old male patient was admitted with regular wide QRS complex tachycardia. After ajmaline administration, the heart rate slowed down disclosing atrial flutter with variable QRS morphologies. Electrocardiography after conversion to sinus rhythm showed narrow QRS complexes. Decremental atrial stimulation during electrophysiological study caused progressive pre-excitation. Spontaneously, typical atrial flutter occurred with pre-excited QRS complexes. Both accessory pathway and atrial flutter were ablated in the same session.
© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

Entities:  

Keywords:  Accessory pathway; Atrial flutter; Broad QRS complex tachycardia; Catheter ablation; Pre-excitation

Year:  2021        PMID: 34241682     DOI: 10.1007/s00399-021-00790-3

Source DB:  PubMed          Journal:  Herzschrittmacherther Elektrophysiol        ISSN: 0938-7412


  2 in total

Review 1.  Electrophysiology: Ventricular tachycardia: diagnosis of broad QRS complex tachycardia.

Authors:  H J Wellens
Journal:  Heart       Date:  2001-11       Impact factor: 5.994

Review 2.  Diagnostic criteria of broad QRS complex tachycardia: decades of evolution.

Authors:  Becker S N Alzand; Harry J G M Crijns
Journal:  Europace       Date:  2010-12-03       Impact factor: 5.214

  2 in total

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