کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2731501 1147361 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Potentially misleading manifestation of a ventricular pre-excitation
ترجمه فارسی عنوان
علائم بالقوه گمراه کننده پیش تحریک بطنی
کلمات کلیدی
تاکی کاردی پیچیده گسترده؛ مسیر جانبی؛ AVRT؛ فیبریلاسیون دهلیزی پیش تحریک ؛ مرگ ناگهانی قلبی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

We present the case report of a 56-year-old man with an unusual manifestation of an accessory pathway. Failure to detect, or incorrect diagnosis, of this anomaly could have put the patient at high risk of sudden cardiac death. The accessory pathway described in this case report was located at the left posteroseptal area and presented initially with a broad QRS complex tachycardia. Despite being pre-excited atrial fibrillation, it could have been misinterpreted as ventricular tachycardia. Once the rhythm had changed to sinus, a Q-wave in the inferior ECG leads became apparent. This finding could have been misdiagnosed as an old myocardial infarction and treated as such, including prescription of betablockers which might, in theory, increase the risk of sudden cardiac death. The treatment of choice for the patient was radio frequency ablation of the accessory pathway.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Cor et Vasa - Volume 56, Issue 5, October 2014, Pages e427–e432
نویسندگان
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