open access

Vol 65, No 5 (2007)
Other
Published online: 2007-06-01
Submitted: 2012-12-28
Get Citation

Invasive electrophysiology
Wide QRS complex tachycardia in a patient after inferior myocardial infarction and CABG – the role of electrophysiological study and RF ablation

Michał Orczykowski, Paweł Derejko, Robert Bodalski, Ewa Szufladowicz, Joanna Zakrzewska, Piotr Urbanek, Roman Kępski, Andrzej Przybylski, Łukasz Szumowski, Franciszek Walczak
Kardiol Pol 2007;65(5):603-607.

open access

Vol 65, No 5 (2007)
Other
Published online: 2007-06-01
Submitted: 2012-12-28

Abstract

We present a case of 53-year-old patient who experienced paroxysms of wide QRS complex tachycardia at a rate of 150 bpm and LBBB morphology 6 years after inferior myocardial infarction and CABG. Anamnesis and morphology of tachycardia could suggest ventricular tachycardia. However during electrophysiological study we observed AVRT with LBBB and “regularly irregular” AVRT with normal QRS complex and changing entrance to the AV node (through slow and fast pathway). In this paper we present our approach and try to explain why the tachycardia using concealed bypass tract appeared so late in life.

Abstract

We present a case of 53-year-old patient who experienced paroxysms of wide QRS complex tachycardia at a rate of 150 bpm and LBBB morphology 6 years after inferior myocardial infarction and CABG. Anamnesis and morphology of tachycardia could suggest ventricular tachycardia. However during electrophysiological study we observed AVRT with LBBB and “regularly irregular” AVRT with normal QRS complex and changing entrance to the AV node (through slow and fast pathway). In this paper we present our approach and try to explain why the tachycardia using concealed bypass tract appeared so late in life.
Get Citation

Keywords

myocardial infarction; ventricular fibrillation; atrioventricular reentrant tachycardia; LBBB; RF ablation

About this article
Title

Invasive electrophysiology
Wide QRS complex tachycardia in a patient after inferior myocardial infarction and CABG – the role of electrophysiological study and RF ablation

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 5 (2007)

Pages

603-607

Published online

2007-06-01

Bibliographic record

Kardiol Pol 2007;65(5):603-607.

Keywords

myocardial infarction
ventricular fibrillation
atrioventricular reentrant tachycardia
LBBB
RF ablation

Authors

Michał Orczykowski
Paweł Derejko
Robert Bodalski
Ewa Szufladowicz
Joanna Zakrzewska
Piotr Urbanek
Roman Kępski
Andrzej Przybylski
Łukasz Szumowski
Franciszek Walczak

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., Świętokrzyska 73 street, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl