Pulseless Electric Activity with Pre-Excitation.
Int Heart J
; 60(2): 470-473, 2019 Mar 20.
Article
en En
| MEDLINE
| ID: mdl-30745545
ABSTRACT
A 41-year-old man developed cardiac arrest. A resting 12-lead electrocardiogram showed a delta wave, suggestive of preexcitation syndrome. An electrophysiological test revealed the existence of inducible atrial fibrillation and a fasciculoventricular accessory pathway (FVAP). After these examinations, idiopathic ventricular arrhythmia was suspected. For evaluating concealed Brugada syndrome, pilsicainide was administered, which diminished the delta wave and no Brugada-like electrocardiogram was observed. Ventricular double extra-stimulation from the RV apex easily induced VF, which could not be defibrillated by an external defibrillator, and later stopped spontaneously. These results established the diagnosis of FVAP and idiopathic VF, and not pre-excited atrial fibrillation or Brugada syndrome.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Fibrilación Ventricular
/
Síndromes de Preexcitación
/
Cardioversión Eléctrica
/
Electrocardiografía
/
Síndrome de Brugada
/
Fascículo Atrioventricular Accesorio
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Año:
2019
Tipo del documento:
Article