open access

Vol 64, No 3 (2006)
Other
Published online: 2006-03-29
Submitted: 2012-12-28
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Invasive electrophysiology
Ventricular fibrillation in a patient with three accessory pathways, Ebstein anomaly and intermittent long QT interval. RF ablation and electrophysiologic considerations

Paweł Derejko, Franciszek Walczak, Łukasz Szumowski, Ewa Szufladowicz, Robert Bodalski, Piotr Urbanek, Roman Kępski, Michał Orczykowski, Włodzimierz Szaroszyk, Tomasz Szajewski, Maciej Nyżnyk
Kardiol Pol 2006;64(3):339-343.

open access

Vol 64, No 3 (2006)
Other
Published online: 2006-03-29
Submitted: 2012-12-28

Abstract

We present a case of a 19-year old man with minor Ebstein’s anomaly, intermittent long QT interval and WPW syndrome in whom atrial fibrillation, degenerating into ventricular fibrillation was the first symptom. QRS complex morphologies during atrial fibrillation revealed the presence of three accessory pathways (septal, right inferior paraseptal and antero-inferior). Immediately after resuscitation the patient was treated with amiodarone, which resulted in a significant prolongation of QT interval to 700 ms. After RF ablation of accessory pathways patient remains asymptomatic during 6-month follow up, however QTc interval is about 500 ms.

Abstract

We present a case of a 19-year old man with minor Ebstein’s anomaly, intermittent long QT interval and WPW syndrome in whom atrial fibrillation, degenerating into ventricular fibrillation was the first symptom. QRS complex morphologies during atrial fibrillation revealed the presence of three accessory pathways (septal, right inferior paraseptal and antero-inferior). Immediately after resuscitation the patient was treated with amiodarone, which resulted in a significant prolongation of QT interval to 700 ms. After RF ablation of accessory pathways patient remains asymptomatic during 6-month follow up, however QTc interval is about 500 ms.
Get Citation

Keywords

WPW syndrome; ventricular fibrillation; Ebstein anomaly; long QT interval

About this article
Title

Invasive electrophysiology
Ventricular fibrillation in a patient with three accessory pathways, Ebstein anomaly and intermittent long QT interval. RF ablation and electrophysiologic considerations

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 3 (2006)

Pages

339-343

Published online

2006-03-29

Bibliographic record

Kardiol Pol 2006;64(3):339-343.

Keywords

WPW syndrome
ventricular fibrillation
Ebstein anomaly
long QT interval

Authors

Paweł Derejko
Franciszek Walczak
Łukasz Szumowski
Ewa Szufladowicz
Robert Bodalski
Piotr Urbanek
Roman Kępski
Michał Orczykowski
Włodzimierz Szaroszyk
Tomasz Szajewski
Maciej Nyżnyk

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