|
|||||
|
|
A Latent Atrioventricular Decrementally Conducting Accessory Pathway Mimicking a Bystander Nodoventricular Fiber |
|
| Authors: | YAN HUO M.D. GERHARD HINDRICKS M.D. Ph.D. ULRIKE WETZEL M.D. THOMAS GASPAR M.D. EDUARDO BACK STERNICK M.D. Ph.D. F.H.R.S. |
| Affiliation: | 1. Department of Electrophysiology, Leipzig Heart Center, University of Leipzig, Leipzig, Germany;2. Electrophysiology Unit, Biocor Instituto, Nova Lima, Brazil |
| Abstract: | A 41‐year‐old woman with recurrent wide‐QRS tachycardia is reported. Electrophysiologic findings were consistent with the diagnosis of a preexcited atrioventricular nodal reentrant tachycardia due to a bystander nodo‐ventricular fiber. However, slow pathway ablation did not preclude tachycardia recurrence. A second electrophysiology study shed light on the correct mechanism and eventually a successful ablation was achieved. (PACE 2010; e76–e80) |
| Keywords: | antidromic tachycardia decrementally conducting accessory pathway |