伪装成心房颤动的典型房室结折返性心动过速
Typical Atrioventricular Nodal Re-Entry Tachycardia Masquerading as Atrial Fibrillation.
作者信息
Soorampally Vijay, Lokhandwala Yash, Vaidya Vaibhav R
机构信息
Department of Cardiology, Trilife Hospital, Bangalore, India.
Department of Cardiology, Holy Family Hospital, Mumbai, India.
出版信息
JACC Case Rep. 2024 Oct 2;29(19):102578. doi: 10.1016/j.jaccas.2024.102578.
We report 3 cases of irregular, narrow complex tachycardia misdiagnosed and treated for atrial fibrillation. The adenosine response, detection of recurring triple cycle length variation patterns, and pseudo-R-wave in lead V during tachycardia made us suspect typical atrioventricular nodal re-entrant tachycardia. The electrophysiology study confirmed atrioventricular nodal re-entrant tachycardia, and symptoms were resolved by slow pathway modification.
我们报告了3例不规则窄QRS波心动过速被误诊为心房颤动并接受治疗的病例。心动过速时腺苷反应、反复出现的三联律间期变化模式的检测以及V导联假性R波使我们怀疑为典型房室结折返性心动过速。电生理研究证实为房室结折返性心动过速，通过慢径路改良症状得以缓解。
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