Cogprints
Login | Create Account

Multiple Arrhythmogenic Substrate for Tachycardia in a Patient with Frequent Palpitations

Haghjoo, Majid and Arya, Arash and Dehghani, Mohammadreza and Emkanjoo, Zahra and Fazelifar, Amirfarjam and Sadr-Ameli, MohammadAli (2005) Multiple Arrhythmogenic Substrate for Tachycardia in a Patient with Frequent Palpitations. [Journal (Paginated)]

Full text available as:

[img]
Preview
PDF
217Kb

Abstract

We report a 26-year-old woman with frequent episodes of palpitation and dizziness. Resting electrocardiography showed no evidence of ventricular preexcitation. During electrophysiologic study, a concealed right posteroseptal accessory pathway was detected and orthodromic atrioventricular reentrant tachycardia incorporating this pathway as a retrograde limb was reproducibly induced. After successful ablation of right posteroseptal accessory pathway, another tachycardia was induced using a concealed right posterolateral accessory pathway in tachycardia circuit. After loss of retrograde conduction of second accessory pathway with radiofrequency ablation, dual atrioventricular nodal physiology was detected and typical atrioventricular nodal reentrant tachycardia was repeatedly induced. Slow pathway ablation was done successfully. Finally sustained self-terminating atrial tachycardia was induced under isoproterenol infusion but no attempt was made for ablation. During 8-month follow-up, no recurrence of symptoms attributable to tachycardia was observed.

Item Type:Journal (Paginated)
Keywords:atrioventricular nodal reentrant tachycardia; atrioventricular reentrant tachycardia; atrial tachycardia; accessory pathway; catheter ablation
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4176
Deposited By:Indian Pacing and Electrophysiology, Journal
Deposited On:14 Apr 2005
Last Modified:12 Sep 2007 17:56

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. Chen SA, Cheng CC, Chiang CC, et al. Radiofrequency ablation in a patient with tachycardia incorporating triple free wall accessory pathways and atrioventricular nodal reentrant tachycardia. Am Heart J 1994;127:1656-1661.

2. Varotto L, Storti C, Salerno-Uriate JA. Radiofrequency ablation in two patients with typical and atypical atrioventricular nodal reentrant tachycardias, associated with atrioventricular reentrant tachycardias. G Ital Cardiol 1999;29:1030-1033.

3. Schlapfer J, Goy JJ. Radiofrequency catheter ablation of both atrial ventricular nodal reentrant and atrial ventricular reentrant tachycardia in a single session. Clin Cardiol 1994;17:337-339.

4. Sticherling C, Tada H, Greenstein R, et al. Incidence and clinical significance of inducible atrial tachycardia in patients with atrioventricular nodal reentrant tachycardia. J Cardiovasc Electrophysiol 2001;12:507-510.

5. Yamada T, Okamoto M, Sueda T, Hashimoto M, Nomura K, Kajiyama G. Radiofrequency catheter ablation for a patient with Wolf-Parkinsin-White syndrome associated with sustained atrial tachycardia. Intern med 1996;35:791-794.

6. Iturralde P, Guevara-Valdivia M, Rodriguez-Chavez L, Medeiros A, Colin L. Radiofrequency ablation of multiple accessory pathways. Europace 2002;4:273-280.

7. Gallagher JJ, Pritchett ELC, Sealy WC, et al. the preexcitation syndromes. Frog Cardiovasc Dis 1978;20:285.

8. Gallagher JJ, Sealy WC, Kassell J, Wallace AG. Multiple accessory pathways in patients with the preexcitation syndrome. Circulation 1976;54:571-591.

9. Josephson ME. Preexcitation syndromes. In: Josephson ME, eds. Clinical cardiac electrophysiology: Technique and interpretations, 3rd ed. Philadelphia: Lippincott Williams and Wilkins 2002:386.

10. Zardini M, Leitch JW, Guairaudon GM, Klein GJ, Yeer R. Atrioventricular nodal reentry and dual atrioventricular node physiology in patients undergoing accessory pathway ablation. Am J Cardiol 1990;66:1388-1389.

11. Pritchet ELC, Prystowsky EN, Benditt DG, Gallagher JJ. Dual atrioventricular nodal pathways in patients with Wolf-Parkinson-White syndrome. Br Heart J 1980;43:7-13.

12. Csanadi Z, Klein GJ, Yee R, Thakur RK, Li H. Effects of dual atrioventricular node pathways on atrioventricular reentrant tachycardia. Circulation 1995;91:2614-2618.

13. Vora A, Lokhandwala Y. Adulterous Tachycardia: What Is the Mechanism? PACE 1998;21:1146-7.

Metadata

Repository Staff Only: item control page

Cogprints is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.