Tratamiento de los pacientes con preexcitación ventricular

Garrote, Jesús Almendral; Torrecilla, Esteban G.; Fernández, Felipe Atienza; Escribano, Dolores Vigil; Arenal-Maiz, A.

doi:10.1016/s0300-8932(04)77206-1

Cited by 9 publications

(1 citation statement)

References 43 publications

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“…He or she must be admitted to a unit with continuous telemetry and the reference arrhythmia team must be contacted for an electrophysiological study. Location and ablation of the accessory pathway should be undertaken during the current hospital admission in order to prevent recurrence of this dangerous arrhythmia in the discharged patient [6]. …”

Section: Discussionmentioning

confidence: 99%

Acute Chest Pain and Broad Complex Tachycardia. A Non-typical Case of Pre-excited Atrial Fibrillation

Arias¹,

Villanueva²,

Cubero

et al. 2011

Cardiol Res

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Wolff-Parkinson-White syndrome is a common condition in the emergency department. A case is presented of a 76-year-old patient with acute chest pain and broad complex tachycardia. Despite the fact that previous and post cardioversion ECG tracings in sinus rhythm showed no signs of pre-excitation, the characteristic pattern of pre-excited atrial fibrillation (AF) is recognized and after successful DC cardioversion the patient is referred for catheter ablation of the accessory pathway. This case illustrates a non-typical presentation of the WPW syndrome, with an older patient than usual with slight signs of pre-excitation. We highlight the need for high grades of suspicion for the early recognition of pre-excited AF when attending patients with tachycardia and the obligation to know the distinctive aspects of its management for this potentially life-threatening arrhythmia.

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Section: Discussionmentioning

confidence: 99%

Acute Chest Pain and Broad Complex Tachycardia. A Non-typical Case of Pre-excited Atrial Fibrillation

Arias¹,

Villanueva²,

Cubero

et al. 2011

Cardiol Res

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Syncope and Wolff‐Parkinson‐White Syndrome: Atrial Fibrillation with Rapid Ventricular Response

Alonso¹,

Mitjans²

2006

Syncope Cases

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Left ventricular dyssynchrony in pre-excitation syndrome: effect of accessory pathway location and reversibility after ablation therapy

et al. 2012

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We sought to evaluate the effects and reversibility of different locations of accessory pathways (AP) on left ventricular dyssynchrony (LVdys). The acute and chronic effects of AP were evaluated in a canine model (n = 11) and in patients with pre-excitation syndrome (n = 25). Pre-excitation was simulated in the canine model by applying VDD-type epicardial ventricular pacing near the atrioventricular (AV) groove with 50-ms AV interval after median thoracotomy, at five different sites in each animal. For the simulation of pre-excitation through the septal accessory pathway, right basal septal pacing was performed using a transvenous lead. Left ventricular dyssynchrony was measured by a two-dimensional speckle-tracking technique: before and during pacing in the canine model, and before and within 24 h after the ablation in patients with Wolff-Parkinson-White (WPW) syndrome. In the canine model, the most prominent intraventricular LVdys was observed in left lateral pre-excitation (P < 0.001). In patients with pre-excitation syndrome, LVdys was greatest in patients with left free wall accessory pathways before the ablation (P = 0.013). After catheter ablation, such a difference diminished (P = 0.619). The degree of LVdys was different according to the site of AP in both the acute model and chronic patients, and the most significant LVdys associated with pre-excitation was observed in left lateral AP. Left ventricular dyssynchrony was reversible in patients with WPW syndrome. Left ventricular dyssynchrony observed in patients with pre-excitation syndrome might be a different entity from that observed in patients with heart failure.

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Tratamiento de los pacientes con preexcitación ventricular

Cited by 9 publications

References 43 publications

Acute Chest Pain and Broad Complex Tachycardia. A Non-typical Case of Pre-excited Atrial Fibrillation

Acute Chest Pain and Broad Complex Tachycardia. A Non-typical Case of Pre-excited Atrial Fibrillation

Syncope and Wolff‐Parkinson‐White Syndrome: Atrial Fibrillation with Rapid Ventricular Response

Left ventricular dyssynchrony in pre-excitation syndrome: effect of accessory pathway location and reversibility after ablation therapy

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