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Latent complete atrioventricular block in a patient with Wolff–Parkinson–White syndrome and fast paroxysmal atrial fibrillation
Affiliations- Department of Cardiovascular Diseases, Bielanski Hospital, Centre of Postgraduate Medical Education, Warszawa, Poland
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Abstract
The Wolf–Parkinson–White (WPW) syndrome is very rarely complicated with a complete atrioventricular block (AVB). In this case, the ventricle is activated entirely through the accessory pathway and the QRS complex is wide and exhibits maximum pre-excitation features. This case report describes a history of a 68 years old male with symptomatic WPW syndrome, episodes of rapid atrial fibrillation and complete atrioventricular block.
Complete heart block in WPW syndrome should be suspected in the presence of a very wide, torn QRS, PJ interval > 0.27 s and paroxysmal atrial fibrillation without atrioventricular re-entrant tachycardia episodes.
Abstract
The Wolf–Parkinson–White (WPW) syndrome is very rarely complicated with a complete atrioventricular block (AVB). In this case, the ventricle is activated entirely through the accessory pathway and the QRS complex is wide and exhibits maximum pre-excitation features. This case report describes a history of a 68 years old male with symptomatic WPW syndrome, episodes of rapid atrial fibrillation and complete atrioventricular block.
Complete heart block in WPW syndrome should be suspected in the presence of a very wide, torn QRS, PJ interval > 0.27 s and paroxysmal atrial fibrillation without atrioventricular re-entrant tachycardia episodes.
Keywords
Wolff–Parkinson–White syndrome, complete atrio-ventricular block, paroxysmal atrial fibrillation, case report
About this articleTitle
Latent complete atrioventricular block in a patient with Wolff–Parkinson–White syndrome and fast paroxysmal atrial fibrillation
Journal
Issue
Article type
Case report
Pages
91-94
Published online
2023-03-20
Page views
423
Article views/downloads
38
DOI
10.5603/FC.a2023.0006
Bibliographic record
Folia Cardiologica 2023;18(2):91-94.
Keywords
Wolff–Parkinson–White syndrome
complete atrio-ventricular block
paroxysmal atrial fibrillation
case report
Authors
Dariusz Michałkiewicz
Sebastian Przychodzeń
Małgorzata Oleszczak-Kostyra
Andrzej Osiecki
Wacław Kochman
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