Sternick Eduardo B, Lokhandwala Yash, Wellens Hein J J
Electrophysiology Unit, Biocor Instituto, Nova Lima, Faculdade Ciências Médicas - MG, Belo Horizonte, Brazil.
Arrhythmia Associates, Mumbai, India.
J Cardiovasc Electrophysiol. 2019 Jul;30(7):1164-1167. doi: 10.1111/jce.13896. Epub 2019 Mar 13.
A case of a 22-year-old young pregnant woman with palpitations and near syncope is presented. Holter monitoring showed very frequent premature beats and runs of wide complex tachycardia, refractory to antiarrhythmic drugs. Electrophysiologic evaluation disclosed spontaneous automatism arising in an atriofascicular pathway. Differential diagnosis is discussed.