Delta Dalgası Olmayan Wolf-Parkinson-White Sendromlu Bir Hasta

Abstract

Bu yazıda senkop ve önlenmiş ani kardiyak ölüm ile yatırılan, Wolff-Parkinson-White sendromlu 16 yaşında bir hasta sunuldu. Elektrokardiyografide delta dalgası olmadan yalnızca kısa PR süresi izlendi. QRS geçiş zonu V2’de idi. Yirmi dört saatlik kalp ritim takibinde, yalnızca gece saatlerinde belirgin olan delta dalgası izlendi. Elektrofizyolojik test ile birlikte nonkoroner aortik kasp bölgesinden sağ anteroseptal aksesuvar yol ablasyonu yapıldı. Ablasyon sonrası EKG’de normal sinüs ritmi ve sağ dal bloku morfolojisi izlendi; PR süresinde belirgin bir değişiklik yoktu.

Keywords

• Wolff-Parkinson-White sendromu,ani kalp durması

A Patient with Wolff-Parkinson-White Syndrome with No Delta Wave

Abstract

We present a 16-year-old patient with Wolff-Parkinson-White syndrome admitted with syncope and aborted sudden cardiac death. Electrocardiography showed only a short PR interval without a delta wave. The QRS transition zone was on V2 in the precordial leads. Twenty-four-hour ambulatory cardiac rhythm monitoring showed an obvious delta wave only at night-time. Electrophysiologic testing was performed and a right anteroseptal accessory pathway was ablated from the noncoronary aortic cusp. ECG after ablation showed sinus rhythm with right bundle branch block morphology, with no obvious change in the PR  duration.

Keywords

• Wolff-Parkinson-White syndrome,sudden cardiac arrest

References

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