Paradoxical preexcitation during cryoablation of a concealed parahisian accessory pathway
A 16‐year‐old male presented with an orthodromic atrioventricular reentrant tachycardia over a concealed parahisian accessory pathway (AP). Cryoablation of the AP resulted in transient manifestation of a fully preexcited sinus rhythm of parahisian AP morphology. Potential causes for the paradoxical...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2018-10, Vol.41 (10), p.1362-1364 |
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| container_end_page | 1364 |
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| container_issue | 10 |
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| container_title | Pacing and clinical electrophysiology |
| container_volume | 41 |
| creator | Akerström, Finn Puchol, Alberto Pachón, Marta Martín‐Sierra, Cristina Rodíguez‐Padial, Luis Arias, Miguel A. |
| description | A 16‐year‐old male presented with an orthodromic atrioventricular reentrant tachycardia over a concealed parahisian accessory pathway (AP). Cryoablation of the AP resulted in transient manifestation of a fully preexcited sinus rhythm of parahisian AP morphology. Potential causes for the paradoxical preexcitation include inadvertent atrioventricular nodal block, sourse‐sink mismatch, as well as the activation of a dormant AP capable of anterograde conduction. |
| doi_str_mv | 10.1111/pace.13470 |
| format | Article |
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Cryoablation of the AP resulted in transient manifestation of a fully preexcited sinus rhythm of parahisian AP morphology. 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Potential causes for the paradoxical preexcitation include inadvertent atrioventricular nodal block, sourse‐sink mismatch, as well as the activation of a dormant AP capable of anterograde conduction.</description><subject>Accessory Atrioventricular Bundle - physiopathology</subject><subject>Accessory Atrioventricular Bundle - surgery</subject><subject>accessory pathway</subject><subject>Adolescent</subject><subject>Bundle of His - physiopathology</subject><subject>Bundle of His - surgery</subject><subject>Conduction</subject><subject>cryoablation</subject><subject>Cryosurgery - methods</subject><subject>Electrocardiography</subject><subject>Humans</subject><subject>Male</subject><subject>paradoxical preexcitation</subject><subject>Pre-Excitation Syndromes - etiology</subject><subject>Pre-Excitation Syndromes - physiopathology</subject><subject>Tachycardia</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - surgery</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1L7TAQhoMoevzY-AOk4EaE6iRN2nQpB_VeEHShC1dhmk410tPU5BTtv7davYu7cDYDL8-8DA9jhxzO-DTnPVo645ksYIMtuJKQaq7KTbYALotUZ7rcYbsxvgBADlJts50MoOQy1wv2eIcBa__uLLZJH4jerVvj2vkuqYfguqfEhtFj1c6ZbxJMrO8sYUt10k_Hzy467BK0lmL0YZzC9fMbjvtsq8E20sH33mMPV5f3yz_pze313-XFTWoznkNqy4p4zbVWVIomRxKCC5uJqtJaQg1kQUiNWaGw4dKiAqGwpLIplKpkbrM9djL39sG_DhTXZuWipbbFjvwQjQCdC6WVUhN6_B_64ofQTd8ZwblUMityOVGnM2WDjzFQY_rgVhhGw8F8Cjefws2X8Ak--q4cqhXV_9AfwxPAZ-DNtTT-UmXuLpaXc-kH1quLHg</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Akerström, Finn</creator><creator>Puchol, Alberto</creator><creator>Pachón, Marta</creator><creator>Martín‐Sierra, Cristina</creator><creator>Rodíguez‐Padial, Luis</creator><creator>Arias, Miguel A.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201810</creationdate><title>Paradoxical preexcitation during cryoablation of a concealed parahisian accessory pathway</title><author>Akerström, Finn ; 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| ispartof | Pacing and clinical electrophysiology, 2018-10, Vol.41 (10), p.1362-1364 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals |
| subjects | Accessory Atrioventricular Bundle - physiopathology Accessory Atrioventricular Bundle - surgery accessory pathway Adolescent Bundle of His - physiopathology Bundle of His - surgery Conduction cryoablation Cryosurgery - methods Electrocardiography Humans Male paradoxical preexcitation Pre-Excitation Syndromes - etiology Pre-Excitation Syndromes - physiopathology Tachycardia Tachycardia, Atrioventricular Nodal Reentry - physiopathology Tachycardia, Atrioventricular Nodal Reentry - surgery |
| title | Paradoxical preexcitation during cryoablation of a concealed parahisian accessory pathway |
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