Atrial flutter and atrial fibrillation associated with Wolff-Parkinson-White syndrome in childhood

1980 ◽  
Vol 1 (3) ◽  
pp. 197-202 ◽  
Author(s):  
Ashok V. Mehta ◽  
Arthur S. Pickoff ◽  
Arthur Raptoulis ◽  
Grace S. Wolff ◽  
Otto L. Garcia ◽  
...  
2002 ◽  
Vol 13 (3) ◽  
pp. 223-229 ◽  
Author(s):  
TAKASHI HAMADA ◽  
TATSURO HIRAKI ◽  
HISAO IKEDA ◽  
ICHIRO KUBARA ◽  
TERUHISA YOSHIDA ◽  
...  

1987 ◽  
Vol 16 (5) ◽  
pp. 574-578 ◽  
Author(s):  
Ivan Schatz ◽  
Gary J Ordog ◽  
Ramesh Karody ◽  
Vijay Bhasin

2019 ◽  
Vol 6 (4) ◽  
pp. 1
Author(s):  
Jonathan Lowenthal ◽  
Jack Xu ◽  
Eric Pagan ◽  
Richard Tangel ◽  
Daniel Schaer ◽  
...  

The manifestation of atrial flutter, particularly with 1:1 conduction, is rare in patients with ventricular preexcitation secondary to Wolff-Parkinson-White Syndrome (WPW). Very few cases have been reported in the literature. We present a 40-year old male with a history of untreated WPW who presented with severe chest pain and shortness of breath. He was found to have a rapid, regular, wide complex tachycardia. He underwent successful synchronized cardioversion, in which the patient converted tonormal sinus rhythm with classic WPW waveform characteristics, including a shortened PR interval and prolonged QRS complex with a slurred upstroke. Surprisingly, a subsequent electrophysiology study revealed atrial flutter, with bystander conduction of 1:1 atrial flutter being the most likely cause of the patient’s presenting symptoms, and a posteroseptal accessory pathway consistent with the diagnosis of WPW. While considerably rarer than ventricular tachycardia or AVRT, it is nevertheless important for clinicians to consider atrial flutter with 1:1 conduction as a potential diagnosis in patients with WPW presenting with wide complex tachycardia.


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