一种微妙的预先兴奋玩捉迷藏。

Q3 Medicine

Indian Pacing and Electrophysiology Journal Pub Date : 2025-05-01 DOI:10.1016/j.ipej.2025.05.003

Ramanathan Velayutham, Anish Bhargav, Raja J. Selvaraj

{"title":"一种微妙的预先兴奋玩捉迷藏。","authors":"Ramanathan Velayutham, Anish Bhargav, Raja J. Selvaraj","doi":"10.1016/j.ipej.2025.05.003","DOIUrl":null,"url":null,"abstract":"<div><div>24 years female presented with recurrent palpitations for one year. Sinus ECG showed preexcitation pattern suggestive of a posteroseptal accessory pathway. During the electrophysiology study, atrioventricular reciprocating tachycardia was induced with an atrial extra stimulus. Successful ablation was done in posteroseptal region. Post ablation, there was subtle preexcitation on alternate beats with mid septal pattern which showed short and fixed HV. Short fixed HV and preexcitation morphology remained the same both during atrial pacing and junctional beats. This case highlights the unusual finding of intermittent conduction in fasciculoventricular pathway.</div></div>","PeriodicalId":35900,"journal":{"name":"Indian Pacing and Electrophysiology Journal","volume":"25 3","pages":"Pages 132-135"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A subtle pre-excitation playing hide and seek\",\"authors\":\"Ramanathan Velayutham, Anish Bhargav, Raja J. Selvaraj\",\"doi\":\"10.1016/j.ipej.2025.05.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>24 years female presented with recurrent palpitations for one year. Sinus ECG showed preexcitation pattern suggestive of a posteroseptal accessory pathway. During the electrophysiology study, atrioventricular reciprocating tachycardia was induced with an atrial extra stimulus. Successful ablation was done in posteroseptal region. Post ablation, there was subtle preexcitation on alternate beats with mid septal pattern which showed short and fixed HV. Short fixed HV and preexcitation morphology remained the same both during atrial pacing and junctional beats. This case highlights the unusual finding of intermittent conduction in fasciculoventricular pathway.</div></div>\",\"PeriodicalId\":35900,\"journal\":{\"name\":\"Indian Pacing and Electrophysiology Journal\",\"volume\":\"25 3\",\"pages\":\"Pages 132-135\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Pacing and Electrophysiology Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S097262922500049X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Pacing and Electrophysiology Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S097262922500049X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

女性，24岁，心悸复发1年。窦性心电图显示预兴奋模式提示后隔膜副通路。在电生理研究中，心房外刺激诱发房室往复式心动过速。后隔区消融术成功。消融术后，交替搏动有细微的预激，中隔型表现为短而固定的HV。短固定HV和预兴奋形态在心房起搏和结性搏动期间保持不变。本病例突出了在束状室通路中发现的不寻常的间歇性传导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A subtle pre-excitation playing hide and seek

24 years female presented with recurrent palpitations for one year. Sinus ECG showed preexcitation pattern suggestive of a posteroseptal accessory pathway. During the electrophysiology study, atrioventricular reciprocating tachycardia was induced with an atrial extra stimulus. Successful ablation was done in posteroseptal region. Post ablation, there was subtle preexcitation on alternate beats with mid septal pattern which showed short and fixed HV. Short fixed HV and preexcitation morphology remained the same both during atrial pacing and junctional beats. This case highlights the unusual finding of intermittent conduction in fasciculoventricular pathway.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

审稿时长

61 days

期刊介绍： Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.