Document Detail

Typical atrioventricular nodal reentrant tachycardia in a patient with fasciculoventricular pathway.
MedLine Citation:
PMID:  17669416     Owner:  NLM     Status:  MEDLINE    
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.
Yun-Shik Choi; Eue-Keun Choi; Seil Oh
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-31
Journal Detail:
Title:  Journal of electrocardiology     Volume:  40     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-11-12     Completed Date:  2007-12-12     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  535-8     Citation Subset:  IM    
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea.
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MeSH Terms
Bundle-Branch Block / complications*,  diagnosis*
Heart Conduction System / abnormalities*
Tachycardia, Atrioventricular Nodal Reentry / diagnosis*,  etiology*

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