O.S. Stichinskiy, A.V. Yakushev, O.Z. Paratsii, R.H. Malyarchuk, B.B. Kravchuk, V.F. Onischenko A combination of atypical atrioventricular nodal reciprocal tachycardia and Wolff – Parkinson – White phenomenon

The work is based on an analysis of a clinical case in a patient with paroxysmal tachycardia with narrow QRS complexes, which was diagnosed as WPW phenomenon by electrocardiography. A differential electrophysiological diagnosis was performed. It was proven that tachycardia with narrow complexes was an atypical form of atrioventricular nodal reciprocal tachycardia, and the WPW phenomenon is a concomitant diagnosis. This finding allowed to perform a successful radiofrequency ablation of tachycardia without redundant applications and X-ray exposure. The obtained data allow to clarify the existing knowledge about paroxysmal tachycardia and to improve the results of diagnosis and surgical treatment of this category of patients.

Full article