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Transition during radiofrequency ablation of manifest preexcitation. What is the mechanism?
- Source :
- Journal of Electrocardiology. 66:49-53
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- A 45-year-old lady was evaluated for recurrent episodes of palpitation. Her 12‑lead electrocardiogram (ECG) showed manifest but incomplete pre-excitation consistent with left sided accessory pathway. There was no structural heart disease by echocardiogram. She underwent an electrophysiology (EP) study after informed consent. A narrow QRS tachycardia consistent with orthodromic AV re-entry got induced. The accessory pathway was mapped to 2 ‘O clock of the mitral annulus (MA). While radio frequency ablation (RFA) was being performed at that site, an interesting phenomenon was observed ( Fig. 1 , Fig. 2 ). What is the mechanism?
- Subjects :
- Tachycardia
medicine.medical_specialty
Pre-Excitation Syndromes
Heart disease
Radiofrequency ablation
medicine.medical_treatment
Accessory pathway
law.invention
Electrocardiography
Narrow qrs
law
Internal medicine
medicine
Humans
cardiovascular diseases
Mitral annulus
Radiofrequency Ablation
business.industry
Middle Aged
Ablation
medicine.disease
Accessory Atrioventricular Bundle
Catheter Ablation
cardiovascular system
Cardiology
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Orthodromic
Subjects
Details
- ISSN :
- 00220736
- Volume :
- 66
- Database :
- OpenAIRE
- Journal :
- Journal of Electrocardiology
- Accession number :
- edsair.doi.dedup.....1ab8e9ca8c56f9fa56abc97c409ed22f
- Full Text :
- https://doi.org/10.1016/j.jelectrocard.2021.02.016