Case report_manifest WPW syndrome

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Case report_manifest WPW syndrome

  1. 1. Case presentation
  2. 2. Brief historyThis 23 years old woman was healthy in the past.She experience the first episode when she was15-year-old during exercising and occasionallyrecurred every half to one year.This time, she presented with palpitation whenshe carrying heavy materials. Due to aboveproblems, she was brought to LMD where PSVTwas noted. Adenosine (6mg --> 12mg) andIsoptin 1amp (?) were administrated.NO history of smoking and drinking.
  3. 3. After adenosine and verapamil (clear consciousness, BP: 98/79mmHg)
  4. 4. cardioversion by Amiodarone
  5. 5. Baseline
  6. 6. A1A1 pacing induced orthodromic AVRT
  7. 7. RA pacing
  8. 8. RV pacing
  9. 9. V1V2 pacing induced AVRT
  10. 10. RFCA at lateral excellent location
  11. 11. RFCA at lateral Kent
  12. 12. post RFCA at lateral AP: no VA conduction by RV pacing (CL: 350ms)
  13. 13. post RFCA at lateral AP: no VA conduction by RV pacing (CL: 300ms)
  14. 14. Posteroseptal Kent (post 1st RFCA at lateral Kent)
  15. 15. post successful RFCA at posteroseptal Kent
  16. 16. recurrent lateral VA conduction after RFCA of posteroseptal Kent
  17. 17. 2nd RFCA lateral Kent at successful spot during orthodromic AVRT
  18. 18. post successful 2nd RFCA lateral Kent
  19. 19. Final
  20. 20. DiagnosisManifest WPW syndrome status postsuccessful ablation of leftposteroseptal and left lateral Kent

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