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Atypical Pre-excitation Pattern in Asymptomatic Wolff-Parkinson-White—A Hallmark for High Risk? Cover

Atypical Pre-excitation Pattern in Asymptomatic Wolff-Parkinson-White—A Hallmark for High Risk?

Romanian Journal of Cardiology
Volume 34 (2024): Issue 1 (March 2024)
By: Alexandru-Paul Burcin,  Elena Ene and  Radu-Gabriel Vătăşescu  
Open Access
|Mar 2024

Figures & Tables

Figure 1

A – 12-lead ECG; B – During catheter manipulation mechanically induced short-coupled atrial extrasystoles unmask two distinct patterns of pre-excitation; C – Initial mapping during SR revealed A-V fusion (first two QRS complexes) on the antero-lateral aspect of mitral annulus (X-Ray LAO projection on top-right corner) and RF application immediately induced A-V split and a sudden change in the pre-excitation pattern (last two QRS complexes); D – Remapping during atrial pacing identified an A-V fusion (first two QRS complexes) on the postero-septal aspect of the mitral annulus (X-Ray LAO projection on top-right corner) and RF application immediately induced an A-V split and sudden loss of pre-excitation (last two QRS complexes); CS, coronary sinus catheter, (9–10 proximal, 3–4 distal); Abl-dist, distal pole of map/ablation catheter.
A – 12-lead ECG; B – During catheter manipulation mechanically induced short-coupled atrial extrasystoles unmask two distinct patterns of pre-excitation; C – Initial mapping during SR revealed A-V fusion (first two QRS complexes) on the antero-lateral aspect of mitral annulus (X-Ray LAO projection on top-right corner) and RF application immediately induced A-V split and a sudden change in the pre-excitation pattern (last two QRS complexes); D – Remapping during atrial pacing identified an A-V fusion (first two QRS complexes) on the postero-septal aspect of the mitral annulus (X-Ray LAO projection on top-right corner) and RF application immediately induced an A-V split and sudden loss of pre-excitation (last two QRS complexes); CS, coronary sinus catheter, (9–10 proximal, 3–4 distal); Abl-dist, distal pole of map/ablation catheter.
DOI: https://doi.org/10.2478/rjc-2023-0030 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 42 - 44
Published on: Mar 29, 2024
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
asymptomatic Wolf-Parkinson-White,
multiple accessory pathways,
sudden cardiac death risk
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2024 Alexandru-Paul Burcin, Elena Ene, Radu-Gabriel Vătăşescu, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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