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Entrainment mapping of a concealed nodoventricular accessory pathway in a man with complete heart block and tachycardia-induced cardiomyopathy
- Source :
- Journal of cardiovascular electrophysiology. 19(1)
- Publication Year :
- 2007
-
Abstract
- True nodoventricular (NV) accessory connections, as originally described by Mahaim, are rare entities, with the majority of previously reported cases now recognized as being due to decremental atriofascicular pathways. Here, we present a patient with incessant narrow and wide QRS complex tachycardia occurring in the setting of prior complete heart block. Entrainment mapping proved useful in diagnosing orthodromic reentry utilizing a concealed right septal NV pathway. The patient was successfully treated with radiofrequency ablation, resulting in a marked improvement in left ventricular function.
- Subjects :
- Tachycardia
Male
medicine.medical_specialty
Radiofrequency ablation
Heart block
medicine.medical_treatment
Catheter ablation
law.invention
Pre-Excitation, Mahaim-Type
Electrocardiography
law
Tachycardia-induced cardiomyopathy
Physiology (medical)
Internal medicine
medicine
Humans
cardiovascular diseases
business.industry
Reentry
Middle Aged
medicine.disease
Cardiology
Tachycardia, Ventricular
medicine.symptom
Entrainment mapping
Cardiology and Cardiovascular Medicine
business
Cardiomyopathies
Orthodromic
Subjects
Details
- ISSN :
- 15408167
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of cardiovascular electrophysiology
- Accession number :
- edsair.doi.dedup.....d0a6f6fd490cde1fecfdab709efd38b9