Rapid Recovery from Congestive Heart Failure Following Successful Radiofrequency Catheter Ablation in a Patient with Late Onset of Wolff-Parkinson-White Syndrome

被引：6
|
作者：
Yodogawa, Kenji [1 ]
Ono, Norihiko [1 ]
Seino, Yoshihiko [1 ]
机构：
[1] Chiba Hokusoh Hosp, Nippon Med Sch, Dept Internal Med, Div Cardiol, Chiba, Japan
来源：
INTERNAL MEDICINE | 2012年 / 51卷 / 03期
关键词：
WPW syndrome; atrial fibrillation; congestive heart failure; catheter ablation; ATRIAL-FIBRILLATION; ACCESSORY PATHWAYS;
D O I：
10.2169/internalmedicine.51.6044
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 56-year-old man was admitted because of palpitations and dyspnea. A 12-lead electrocardiogram showed irregular wide QRS complex tachycardia with a slur at the initial portion of the QRS complex. He had preexisting long-standing persistent atrial fibrillation, but early excitation syndrome had never been noted. Chest X-ray showed heart enlargement and pulmonary congestion. He was diagnosed with late onset of Wolff-Parkinson-White syndrome, and congestive heart failure was probably caused by rapid ventricular response of atrial fibrillation through the accessory pathway. Emergency catheter ablation for the accessory pathway was undertaken, and heart failure was dramatically improved.
引用
收藏
页码：277 / 280
页数：4
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