Wolff-Parkinson-White Syndrome Concomitant with Idiopathic Ventricular Fibrillation Associated with Inferior Early Repolarization
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概要
- 論文の詳細を見る
We encountered a 39-year-old man with documented ventricular fibrillation (VF). His ECGs showed intermittent Wolff-Parkinson-White (WPW) syndrome pattern. During electrophysiological study, no ventricular preexcitation was observed. An accessory pathway located at the posterior mitral annulus was identified, and successfully eliminated by radiofrequency catheter ablation. VF was not induced. His ECGs in the absence of delta waves demonstrated early repolarization in the inferior leads. This case raises the possibility that patients with manifest WPW syndrome may have an arrhythmogenic substrate associated with early repolarization, and the characteristic J waves can be masked by the presence of ventricular preexcitation.
著者
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Saikawa Tetsunori
Department Of Cardiovascular Science Faculty Of Medicine Oita University
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Hara Masahide
Department Of Internal Medicine 1 Faculty Of Medicine Oita University
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Shinohara Tetsuji
Department of Internal Medicine 1, Faculty of Medicine, Oita University
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Takahashi Naohiko
Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University
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Takahashi Naohiko
Department of Laboratory Examination and Diagnostics, Faculty of Medicine, Oita University, Japan
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Shinohara Tetsuji
Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University
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Shinohara Tetsuji
Department of Internal Medicine 1, Faculty of Medicine, Oita University, Japan
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Saikawa Tetsunori
Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University
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Saikawa Tetsunori
Department of Laboratory Examination and Diagnostics, Faculty of Medicine, Oita University, Japan
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Hara Masahide
Department of Internal Medicine 1, Faculty of Medicine, Oita University, Japan
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