Pre-excitation syndrome with a change in terminal QRS vector.

Abstract:

:Most accessory pathways in pre-excitation syndrome are capable of antegrade conduction from atrium to ventricle, and identified by characteristic ECG abnormalities such as a delta wave (ventricular pre-excitation) and a shortened PR interval.Therefore, the traditional diagnosis method is to detect the initial changes of the QRS complex. Here we report a patient initially mistaken as having atrioventricular re-entrant tachycardia (AVRT) and concealed pre-excitation syndrome. A diagnosis of incomplete latent pre-excitation syndrome was established on the basis of differences between the ECGs during sinus rhythm and AVRT in terminal QRS vectors, demonstrated by intracardiac electrophysiological radiofrequency catheter ablation.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Liu R,Chen J

doi

10.1080/ac.68.2.2967285

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

219-21

issue

2

eissn

0001-5385

issn

1784-973X

journal_volume

68

pub_type

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