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Paroxysmal ventricular tachycardia in Wolff-Parkinson-White syndrome: Case report and review of the literature

Identifieur interne : 000677 ( Main/Corpus ); précédent : 000676; suivant : 000678

Paroxysmal ventricular tachycardia in Wolff-Parkinson-White syndrome: Case report and review of the literature

Auteurs : C. Pratap Reddy ; John C. Sartini ; Chien S. Kuo

Source :

RBID : ISTEX:2D2EDD354DA65CD8723C3432ABCA589494778FA7

Abstract

A case with Type A Wolf f-Parkinson-White pattern and recurrent sustained ventricular tachycardia is presented. Because of ventricular pre-excitation, electrocardiographic clues suggestive of ventricular tachycardia were ignored and the diagnosis of supraventricular tachycardia with conduction to the ventricles over the accessory pathway was made during reach admission to the hospital. Ventricular tachycardia was suspected only when programmed stimulation studies performed twelve years after initial presentation and many hospitalizations failed to induce a tachycardia with a QRS pattern similar to that of spontaneously occurring tachycardia. The diagnosis of ventricular tachycardia was later confirmed by intracardiac recordings made during a spontaneous episode of tachycardia. Tachycardia was unresponsive to all conventional antiarrhythmic agents but was controlled with amiodarone.The differential diagnosis of wide QRS complex tachycardia in patients with Wolff-Parkinson-White syndrome, the implications of correctly diagnosing the tachycardia, and the usefulness of intracardiac electrophysiologic studies in differentiating supraventricular tachycardia with aberrant conduction from ventricular tachycardia are discussed.

Url:
DOI: 10.1016/S0022-0736(82)81016-9

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ISTEX:2D2EDD354DA65CD8723C3432ABCA589494778FA7

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<ce:title>Paroxysmal ventricular tachycardia in Wolff-Parkinson-White syndrome: Case report and review of the literature</ce:title>
<ce:author-group>
<ce:author>
<ce:given-name>C. Pratap</ce:given-name>
<ce:surname>Reddy</ce:surname>
<ce:degrees>M.D.</ce:degrees>
<ce:cross-ref refid="fn1">
<ce:sup>1</ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="fn2">
<ce:sup>*</ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="cor1">
<ce:sup>2</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author>
<ce:given-name>John C.</ce:given-name>
<ce:surname>Sartini</ce:surname>
<ce:degrees>M.D.</ce:degrees>
<ce:cross-ref refid="fn1">
<ce:sup>1</ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="fn3">
<ce:sup></ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author>
<ce:given-name>Chien S.</ce:given-name>
<ce:surname>Kuo</ce:surname>
<ce:degrees>M.D.</ce:degrees>
<ce:cross-ref refid="fn1">
<ce:sup>1</ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="fn2">
<ce:sup>*</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:correspondence id="cor1">
<ce:label>2</ce:label>
<ce:text>Reprint requests to: C. Pratap Reddy, M.D., Cardiology Section (111B), Veterans Administration Medical Center, Lexington, KY 40511.</ce:text>
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<ce:label>1</ce:label>
<ce:note-para>From the Cardiovascular Division, Department of Medicine, University of Kentucky and Veterans Administration Medical Centers, Lexington, KY.</ce:note-para>
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<ce:footnote id="fn2">
<ce:label>*</ce:label>
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<ce:abstract id="ab1">
<ce:section-title>Summary</ce:section-title>
<ce:abstract-sec>
<ce:simple-para>A case with Type A Wolf f-Parkinson-White pattern and recurrent sustained ventricular tachycardia is presented. Because of ventricular pre-excitation, electrocardiographic clues suggestive of ventricular tachycardia were ignored and the diagnosis of supraventricular tachycardia with conduction to the ventricles over the accessory pathway was made during reach admission to the hospital. Ventricular tachycardia was suspected only when programmed stimulation studies performed twelve years after initial presentation and many hospitalizations failed to induce a tachycardia with a QRS pattern similar to that of spontaneously occurring tachycardia. The diagnosis of ventricular tachycardia was later confirmed by intracardiac recordings made during a spontaneous episode of tachycardia. Tachycardia was unresponsive to all conventional antiarrhythmic agents but was controlled with amiodarone.</ce:simple-para>
<ce:simple-para>The differential diagnosis of wide QRS complex tachycardia in patients with Wolff-Parkinson-White syndrome, the implications of correctly diagnosing the tachycardia, and the usefulness of intracardiac electrophysiologic studies in differentiating supraventricular tachycardia with aberrant conduction from ventricular tachycardia are discussed.</ce:simple-para>
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<ce:bibliography>
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<title>Paroxysmal ventricular tachycardia in Wolff-Parkinson-White syndrome: Case report and review of the literature</title>
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<title>Paroxysmal ventricular tachycardia in Wolff-Parkinson-White syndrome: Case report and review of the literature</title>
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<name type="personal">
<namePart type="given">C. Pratap</namePart>
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<description>From the Cardiovascular Division, Department of Medicine, University of Kentucky and Veterans Administration Medical Centers, Lexington, KY.</description>
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</name>
<name type="personal">
<namePart type="given">John C.</namePart>
<namePart type="family">Sartini</namePart>
<namePart type="termsOfAddress">M.D.</namePart>
<description>From the Cardiovascular Division, Department of Medicine, University of Kentucky and Veterans Administration Medical Centers, Lexington, KY.</description>
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<name type="personal">
<namePart type="given">Chien S.</namePart>
<namePart type="family">Kuo</namePart>
<namePart type="termsOfAddress">M.D.</namePart>
<description>From the Cardiovascular Division, Department of Medicine, University of Kentucky and Veterans Administration Medical Centers, Lexington, KY.</description>
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<dateIssued encoding="w3cdtf">1982</dateIssued>
<copyrightDate encoding="w3cdtf">1982</copyrightDate>
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<abstract>A case with Type A Wolf f-Parkinson-White pattern and recurrent sustained ventricular tachycardia is presented. Because of ventricular pre-excitation, electrocardiographic clues suggestive of ventricular tachycardia were ignored and the diagnosis of supraventricular tachycardia with conduction to the ventricles over the accessory pathway was made during reach admission to the hospital. Ventricular tachycardia was suspected only when programmed stimulation studies performed twelve years after initial presentation and many hospitalizations failed to induce a tachycardia with a QRS pattern similar to that of spontaneously occurring tachycardia. The diagnosis of ventricular tachycardia was later confirmed by intracardiac recordings made during a spontaneous episode of tachycardia. Tachycardia was unresponsive to all conventional antiarrhythmic agents but was controlled with amiodarone.The differential diagnosis of wide QRS complex tachycardia in patients with Wolff-Parkinson-White syndrome, the implications of correctly diagnosing the tachycardia, and the usefulness of intracardiac electrophysiologic studies in differentiating supraventricular tachycardia with aberrant conduction from ventricular tachycardia are discussed.</abstract>
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<title>Journal of Electrocardiology</title>
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<title>YJELC</title>
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<originInfo>
<dateIssued encoding="w3cdtf">1982</dateIssued>
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<identifier type="ISSN">0022-0736</identifier>
<identifier type="PII">S0022-0736(09)X9005-9</identifier>
<part>
<detail type="volume">
<number>15</number>
<caption>vol.</caption>
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<detail type="issue">
<number>4</number>
<caption>no.</caption>
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<extent unit="issue pages">
<start>307</start>
<end>424</end>
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<extent unit="pages">
<start>403</start>
<end>410</end>
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<identifier type="istex">2D2EDD354DA65CD8723C3432ABCA589494778FA7</identifier>
<identifier type="DOI">10.1016/S0022-0736(82)81016-9</identifier>
<identifier type="PII">S0022-0736(82)81016-9</identifier>
<identifier type="ArticleID">81016</identifier>
<accessCondition type="use and reproduction" contentType="">© 1982Research in Electrocardiology, Inc.</accessCondition>
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<recordOrigin>Research in Electrocardiology, Inc., ©1982</recordOrigin>
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