Palpitation case study one: Difference between revisions
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{{Palpitation}} | {{Palpitation}} {{AE}}{{Akash}} | ||
==Overview== | |||
A young man presented with isolated palpitations. An ECG showed sinus rhythm with preventricular excitation. Physical examination and echocardiography revealed no positive findings. An electrophysiology study eventually revealed the presence of a fasiculoventricular pathway. | |||
==Case study== | |||
*A young man presented with isolated palpitations. *An ECG showed sinus rhythm with ventricular pre-excitation. {{cite web |url=https://onlinelibrary.wiley.com/doi/full/10.1002/joa3.12358 |title=Isolated palpitations and ventricular pre‐excitation - Arias - 2020 - Journal of Arrhythmia - Wiley Online Library |format= |work= |accessdate=}} | |||
*Physical examination and echocardiography revealed no positive findings. | |||
*The presence of a positive delta wave in V5 and V6 and a negative wave in V1, raised suspicion for the presence of an accessory pathway. | |||
*A fasiculoventricular accessory pathway is an atypical pathway that connects either the Bundle of His or the fascicles with the ventricular myocardium and the anteroseptal region. | |||
*In the absence of structural heart disease, fasiculoventricular accessory pathways usually present in normal sinus rhythm and the pre-excitation would be minimal. | |||
*An electrophysiology study eventually confirmed the diagnosis. | |||
[[Image:ECG Palpitations Case Study.png|thumb|center|500px|{{cite web |url=https://onlinelibrary.wiley.com/doi/full/10.1002/joa3.12358 |title=Isolated palpitations and ventricular pre‐excitation - Arias - 2020 - Journal of Arrhythmia - Wiley Online Library |format= |work= |accessdate=}}]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 01:18, 14 September 2020
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Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[1]
Overview
A young man presented with isolated palpitations. An ECG showed sinus rhythm with preventricular excitation. Physical examination and echocardiography revealed no positive findings. An electrophysiology study eventually revealed the presence of a fasiculoventricular pathway.
Case study
*A young man presented with isolated palpitations. *An ECG showed sinus rhythm with ventricular pre-excitation. "Isolated palpitations and ventricular pre‐excitation - Arias - 2020 - Journal of Arrhythmia - Wiley Online Library".
- Physical examination and echocardiography revealed no positive findings.
- The presence of a positive delta wave in V5 and V6 and a negative wave in V1, raised suspicion for the presence of an accessory pathway.
- A fasiculoventricular accessory pathway is an atypical pathway that connects either the Bundle of His or the fascicles with the ventricular myocardium and the anteroseptal region.
- In the absence of structural heart disease, fasiculoventricular accessory pathways usually present in normal sinus rhythm and the pre-excitation would be minimal.
*An electrophysiology study eventually confirmed the diagnosis.
