Unmasked superoparaseptal pathway conduction due to atrial fibrillation in a patient with left ventricular dysfunctionRapid recovery after successful radiofrequency ablationDemaskierung einer superoparaseptalen akzessorischen Leitungsbahn durch neu aufgetretenes Vorhofflimmern bei einer Patientin mit eingeschränkter linksventrikulärer Pumpfunktion.Rasche Besserung der LV-Funktion nach erfolgreicher Radiofrequenzablation

被引:0
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作者
Dirk Prochnau
Ralf Surber
Helmut Kuehnert
Hans R. Figulla
机构
[1] Friedrich Schiller University,Department of Internal Medicine I, Jena University Hospital
关键词
Heart failure; Superoparaseptal pathway; Catheter ablation; Preexcitation; Atrial fibrillation; Herzinsuffizienz; Superoparaseptale Bahn; Katheterablation; Wolff-Parkinson-White-Syndrom; Präexzitation; Vorhofflimmern;
D O I
10.1007/s00399-013-0274-6
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学科分类号
摘要
We report the case of a 56-year-old woman with newly diagnosed atrial fibrillation (AF) and severe left ventricular (LV) dysfunction caused by rapid conduction via an accessory pathway (AP), mimicking left bundle branch block, as the first clinical manifestation of Wolff–Parkinson–White (WPW) syndrome. Electrical cardioversion of the AF revealed a short PR interval and a delta wave, which was positive in leads I, II, aVL, and V2 and negative in lead V1 with a transition zone between V1 and V2. Radiofrequency catheter ablation of a superoparaseptal pathway was accompanied by rapid recovery from LV systolic dysfunction.
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页码:191 / 193
页数:2
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