medigraphic.com
Colegio de Medicina Interna de México.

2013, Number 2

<< Back Next >>

Med Int Mex 2013; 29 (2)

Wide QRS complex tachycardia with Ebstein´s anomaly. Case report

Cortés-Ortiz A, Benítez D, Sánchez-Islas DA

Language: Spanish
References: 11
Page: 219-223
PDF size: 296.15 Kb.


ABSTRACT

We present a case of a 34 year old with a history of palpitations of 10 years of evolution and referral from a community hospital to our center for study of ventricular tachycardia and coronary artery disease. The diagnostic approach ruled out coronary artery disease and showed Ebstein anomaly and Wolff-Parkinson-White syndrome with wide QRS complex tachycardia related to antidrómica reentrant tachycardia. The patient has had adequate response to antiarrhythmic therapy.


REFERENCES

  1. Roten L, Lukac P, De Groot N et al. Catheter ablation of Arrhythmias in Ebstein’s Anomaly: A Multicenter Study. J Cardiovasc Electrophysiol 2011;22: 1391-1396

  2. Iturralde P. La anomalía de Ebstein asociada al síndrome de Wolff-Parkinson-White. Arch Cardiol Mex 2007;77:S2,37-39.

  3. Iturralde P, Nava S, Sálica G et al. Electrocardiographic characteristics of Patients with Ebstein’s Anomaly Before and After Ablation of an Accessory Atrioventricular Pathway. J Cardiovasc Electrophysio 2006; 17:1332-1336.

  4. Referencia de algún texto de EEF.

  5. Miller JM, Das MK, Yadav AV, et al. Value of the 12-lead ECG in wide QRS tachycardia. Cardiol clin 2006; 24: 439-451.

  6. Goldberg ZD, Rho RW, Page RL. Approach to the diagnosis and initial magement of the stable adult patient with a wide complex tachycardia. Am J Cardiol 2008;101:1456-1466.

  7. Kumar UN, Rajni K, Scheinman MM. The 12-Lead Electrocardiogram in Supraventricular Tachycardia. Cardiol clin 2006; 24: 427-37.

  8. Brugada P, Brugada J, Mont Ll, et al. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation 1991; 83: 1649-1659.

  9. Vereckei A, Duray G, Szénási G, et al. New algorithm using only aVR for differential diagnosis of wide QRS complex tachycardia. Heart Rhythm 2008;5:89-98.

  10. Hazinski MF, Nolan JP, Billi JE, et al. International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2010;122[suppl 2]:S250–S275

  11. Cappato R, Schlülter M, Weiss C, et al. Radiofrecuency current catheter ablation of accessory pathways in Ebstein’s anomaly. Circulation 1996, 94: 376-383.




2020     |     www.medigraphic.com