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Titolo:
Antidromic atrioventricular reentrant tachycardia mimicking ventricular tachycardia in the setting of previous myocardial infarction
Autore:
Dagres, N; Clague, JR; Kottkamp, H; Breithardt, G; Borggrefe, M;
Indirizzi:
Univ Munster, Dept Cardiol & Angiol, Munster, Germany Univ Munster Munster Germany r, Dept Cardiol & Angiol, Munster, Germany
Titolo Testata:
CLINICAL CARDIOLOGY
fascicolo: 1, volume: 23, anno: 2000,
pagine: 63 - 65
SICI:
0160-9289(200001)23:1<63:AARTMV>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
WIDE QRS COMPLEX; DIFFERENTIAL-DIAGNOSIS; REGULAR TACHYCARDIA;
Keywords:
Wolff-Parkinson-White syndrome; antidromic atrioventricular reentrant tachycardia; ventricular tachycardia; coronary artery disease; myocardial infarction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
5
Recensione:
Indirizzi per estratti:
Indirizzo: Dagres, N Univ Essen Gesamthsch Klinikum, Med Klin, Abt Kardiol, Hufelandstr 55, D-45122 Essen, Germany Univ Essen Gesamthsch Klinikum Hufelandstr 55Essen Germany D-45122
Citazione:
N. Dagres et al., "Antidromic atrioventricular reentrant tachycardia mimicking ventricular tachycardia in the setting of previous myocardial infarction", CLIN CARD, 23(1), 2000, pp. 63-65

Abstract

The differentiation between ventricular tachycardia and broad-complex supraventricular tachycardia can be extremely difficult, particularly in emergency situations. We report a case of hemodynamically compromising broad-complex tachycardia in a 63-year-old man. The patient had previously sustained an anteroseptal myocardial infarction and had subsequently undergone coronary artery bypass surgery because of triple-vessel coronary artery disease. Intravenous treatment with ajmalin terminated the tachycardia and revealed preexcited QRS complexes compatible with the presence of a left-sided atrioventricular accessory pathway. An antidromic atrioventricular reentrant tachycardia (identical to the clinical tachycardia) was induced during an electrophysiologic study. In conclusion, there are several causes of broad-complex tachycardia, even in patients with previous myocardial infarction, and,where doubt exists, electrophysiologic studies should be performed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 04:02:55