SEVEN TYPES OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA IN ONE PATIENT
https://doi.org/10.17802/2306-1278-2019-8-1-140-145
Abstract
The report describes the case of electrophysiological study and catheter ablation of seven types of supraventricular tachycardia in one patient. During radiofrequency ablation for WPW-syndrome three functionated discrete retrograde conductive accessory atrioventricular pathways were documented and were successfully ablated. Further incessant activity of two ectopic atrial focuses was revealed. First localized in upper part of crista terminalis and another – in left superior pulmonary vein ostium. Five months after patient had a recurrence of supraventricular tachycardia. EPI-study demonstrated evidence for retrograde ventriculoatrial dissociation with induction of atypical fast/slow and typical slow/fast atrioventricular nodal reentry tachycardia, wich were successfully ablated. With further observation, rhythm disturbances did not recur.
About the Authors
S. E. Mamchur
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, Head of the Department of Cardiovascular Diseases Diagnostics, Head of the Laboratory of Cardiac Arrhythmia and Pacing,
6, Sosnoviy Blvd., Kemerovo, 650002
E. A. Khomenko
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”;
State Budgetary Healthcare Institution of the Kemerovo Region “Kemerovo Regional Clinical Cardiology Dispensary n.a. academician L.S. Barbarash”
Russian Federation
Russian Federation
PhD, researcher at the Laboratory of Cardiac Arrhythmia and Pacing, 6, Sosnoviy Blvd., Kemerovo, 650002
interventional cardiologist, Kemerovo
M. P. Romanova
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”;
State Budgetary Healthcare Institution of the Kemerovo Region “Kemerovo Regional Clinical Cardiology Dispensary n.a. academician L.S. Barbarash”
Russian Federation
Russian Federation
research assistant at the Laboratory of Cardiac Arrhythmia and Pacing, 6, Sosnoviy Blvd., Kemerovo, 650002;
cardiologist at the Emergency Cardiac Department №2, Kemerovo
T. Yu. Chichkova
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
researcher at the Laboratory of Cardiac Arrhythmia and Pacing,
6, Sosnoviy Blvd., Kemerovo, 650002
References
1. Priori S.G., Blomström-Lundqvist C., Mazzanti A., Blom N., Borggrefe M., Camm J. et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC) Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Europace. 2015; 17(11): 1601-1687. doi: 10.1093/europace/euv319.
2. Cohen M.I., Triedman J.K., Cannon B.C., Davis A.M., Drago F., Janousek J., Klein G.J., Law I.H., Morady F.J., Paul T., Perry J.C., Sanatani S., Tanel R.E. PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a WolffParkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS). Heart Rhythm. 2012; 9: 1006-1024. doi: 10.1016/j.hrthm.2012.03.050.
3. Page R.L., Joglar J.A., Caldwell M.A., Calkins H., Conti J.B., Deal B.J., Estes N.A. 3rd, Field M.E., Goldberger Z.D., Hammill S.C., Indik J.H., Lindsay B.D., Olshansky B., Russo A.M., Shen W.K., Tracy C.M., Al-Khatib S.M. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2016; 67(13): e27-e115. doi: 10.1016/j.jacc.2015.08.856.
4. Mamchur S.E., Khomenko E.A., Bokhan N.S., Romanova M.P. Slow/Slow type of atrioventricular nodal reentrant tachycardia in first degree atrioventricular block. Complex Issues of Cardiovascular Diseases. 2016;(2):90-95. (In Russian) https:// doi.org/10.17802/2306-1278-2016-2-90-95
5. Kiernan T.J., Fahy G. Multiple accessory pathways, dual AV nodal physiology, non-compacted myocardium and patent foramen ovale in a patient with Ebstein's anomaly: Report of a case. Int J Cardiol. 2007; 114(3): 412-413. doi: 10.1016/j.ijcard.2005.11.090.
6. Lockwood D., Otomo K., Wang Z., Forresti S., Nakagawa H., Beckman K., Scherlag B.J., Patterson E., Lazzara R., Jackman W.M. Electrophysiologic characteristics of atrioventricular nodal reentrant tachycardia: implications for the reentrant circuits. In: Cardiac electrophysiology: from cell to bedside. D.P. Zipes, J. Jalife, eds. 4th ed. Philadelphia: W. B. Saunders, 2004: 537-557. https://doi.org/10.1016/B0-7216-0323-8/50062-2
7. Zhu D.W.X. Modification of the atrioventricular node for management of atrioventricular nodal reentrant tachycardia. In: Interventional electrophysiology. I. Singer, ed. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2001: 255-287.
8. Taylor G.W., Kay G.N. Selective slow pathway ablation for treatment of AV nodal reentrant tachycardia. In: Radiofrequency catheter ablation of cardiac arrhythmias: basic concepts and clinical applications. S.K.S. Huang, D.J. Wilber, eds. 2nd ed. Armonk, N.Y.: Furura Publishing Company, Inc., 2000: 423-461.
9. Oferkin A.I., Petsh A.I., Mamchur S.E. Radiochastotnaya ablaciya atrioventrikulyarnoj uzlovoj tahikardii. 2-e izd. Tomsk: Izd-vo Tom. un-ta, 2014. 203 s.
10. Mazgalev T.N., Chou P.J. Atrial-AV nodal electrophysiology: A View from the Millennium. Wiley, 2000: 528.
Review
For citations:
Mamchur S.E., Khomenko E.A., Romanova M.P., Chichkova T.Yu. SEVEN TYPES OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA IN ONE PATIENT. Complex Issues of Cardiovascular Diseases. 2019;8(1):140-145. (In Russ.) https://doi.org/10.17802/2306-1278-2019-8-1-140-145
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