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Wolff‐Parkinson‐White Syndrome Concomitant with Asymptomatic Brugada Syndrome
Author(s) -
OHKUBO KIMIE,
WATANABE ICHIRO,
OKUMURA YASUO,
YAMADA TAKESHI,
HASHIMOTO KENICHI,
MASAKI RIKO,
OSHIKAWA NAOHIRO,
KOFUNE TATSUYA,
WAKITA RIE,
TAKAGI YASUHIRO,
SAITO SATOSHI,
OZAWA YUKIO,
KANMATSUSE KATSUO
Publication year - 2004
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2004.00396.x
Subject(s) - medicine , cardiology , accessory pathway , asymptomatic , atrial fibrillation , brugada syndrome , concomitant , sinus rhythm , ablation , radiofrequency ablation , tachycardia , ventricular fibrillation , anesthesia , catheter ablation
A 29‐year‐old man was referred for electrophysiological testing and radiofrequency ablation because of repeated episodes of palpitation over 2 years. A 12‐lead electrocardiogram during sinus rhythm showed manifest Wolff‐Parkinson‐White syndrome and during palpitation showed narrow QRS tachycardia at a rate of 213 beats/min. Following successful radiofrequency ablation of the left anterolateral accessory pathway, sustained atrial fibrillation was induced by atrial extrastimulation. Cibenzoline (2 mg/kg body weight) was injected to terminate atrial fibrillation. ST‐T segment elevation in the right precordial leads was observed following cibenzoline administration. Ventricular fibrillation was reproducibly induced by ventricular extrastimuli (S 1 : 600 ms, S 2 : 220 ms, S 3 : 210 ms). (PACE 2004; 27:109–111)