Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?

A 52-year-old woman with previously unsuccessful posteroseptal pathway ablation using radiofrequency energy presented with intermittently occurring short PR followed by a wide QRS complex, and complaining of palpitations with characteristics different from previous history. During a second electroph...

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Main Authors: Evgeny Mikhaylov, Elnara Voitkovskaya, Dmitry Lebedev
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2012/289067
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author Evgeny Mikhaylov
Elnara Voitkovskaya
Dmitry Lebedev
author_facet Evgeny Mikhaylov
Elnara Voitkovskaya
Dmitry Lebedev
author_sort Evgeny Mikhaylov
collection DOAJ
description A 52-year-old woman with previously unsuccessful posteroseptal pathway ablation using radiofrequency energy presented with intermittently occurring short PR followed by a wide QRS complex, and complaining of palpitations with characteristics different from previous history. During a second electrophysiological procedure no signs of preexcitation were found. Ventricular discharges with fusion with sinus beats were revealed, and catheter ablation of premature contractions originating from the proximity to previous accessory pathway was carried out.
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institution Kabale University
issn 2090-6404
2090-6412
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-897a793a92d64e58917085878ed483412025-02-03T01:10:58ZengWileyCase Reports in Cardiology2090-64042090-64122012-01-01201210.1155/2012/289067289067Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?Evgeny Mikhaylov0Elnara Voitkovskaya1Dmitry Lebedev2Department of Electrophysiology and Cardiac Pacing, Almazov Federal Heart, Blood and Endocrinology Centre, 197341 Saint Petersburg, RussiaDepartment of Electrophysiology and Cardiac Pacing, Almazov Federal Heart, Blood and Endocrinology Centre, 197341 Saint Petersburg, RussiaDepartment of Electrophysiology and Cardiac Pacing, Almazov Federal Heart, Blood and Endocrinology Centre, 197341 Saint Petersburg, RussiaA 52-year-old woman with previously unsuccessful posteroseptal pathway ablation using radiofrequency energy presented with intermittently occurring short PR followed by a wide QRS complex, and complaining of palpitations with characteristics different from previous history. During a second electrophysiological procedure no signs of preexcitation were found. Ventricular discharges with fusion with sinus beats were revealed, and catheter ablation of premature contractions originating from the proximity to previous accessory pathway was carried out.http://dx.doi.org/10.1155/2012/289067
spellingShingle Evgeny Mikhaylov
Elnara Voitkovskaya
Dmitry Lebedev
Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?
Case Reports in Cardiology
title Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?
title_full Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?
title_fullStr Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?
title_full_unstemmed Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?
title_short Intermittently “Pre-Excited” ECG after Accessory Pathway Ablation: Unsuccessful Procedure or a Complication?
title_sort intermittently pre excited ecg after accessory pathway ablation unsuccessful procedure or a complication
url http://dx.doi.org/10.1155/2012/289067
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AT elnaravoitkovskaya intermittentlypreexcitedecgafteraccessorypathwayablationunsuccessfulprocedureoracomplication
AT dmitrylebedev intermittentlypreexcitedecgafteraccessorypathwayablationunsuccessfulprocedureoracomplication