Pre-excitation Due to Fascicular-Ventricular Pathway: An Electrocardiographic Diagnosis: A Case Report

A 79-year-old Caucasian male was referred to cardiology clinic because the electrocardiogram showed premature atrial complexes and pre-excitation (delta waves) thought to be consistent with Wolff-Parkinson-White (WPW) syndrome. He did not report symptoms of palpitations or syncope. Careful analysis...

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Veröffentlicht in:	JIM - high impact case reports 2022-01, Vol.10, p.23247096211073261-23247096211073261
Hauptverfasser:	Lange, Richard A., Nguyen, Victoria, Abedin, Zainul
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Cardiology Case Report Case reports Electrocardiography Heart Ventricles Humans Male Pre-Excitation Syndromes - diagnosis Syncope Wolff-Parkinson-White Syndrome - diagnosis
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Zusammenfassung:	A 79-year-old Caucasian male was referred to cardiology clinic because the electrocardiogram showed premature atrial complexes and pre-excitation (delta waves) thought to be consistent with Wolff-Parkinson-White (WPW) syndrome. He did not report symptoms of palpitations or syncope. Careful analysis of the electrocardiogram revealed a fascicular-ventricular pathway (FVP) responsible for pre-excitation. Differentiating FVP from WPW syndrome is essential as the risk profile is different with each. Electrocardiographic observations that could help identify the presence of an FVP and its diagnostic, prognostic, and therapeutic implications are presented.
ISSN:	2324-7096 2324-7096
DOI:	10.1177/23247096211073261