• Turk J Emerg Med · Sep 2018

    Case Reports

    The coexistence of Wolff-Parkinson-White syndrome (WPW) and atrioventricular nodal reentrant tachycardia (AVNRT).

    • Ali Elitok, Gökhan Aksan, Mehmet Rasih Sonsöz, Mehmet Tezcan, and Özgür Çevrim.
    • Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Istanbul, Turkey.
    • Turk J Emerg Med. 2018 Sep 1; 18 (3): 131-133.

    AbstractAtrioventricular nodal reentrant tachycardia (AVNRT) is the most common type of reentrant paroxysmal supraventricular tachycardia that occurs in the presence of dual AV nodal physiology. Wolff-Parkinson-White (WPW) syndrome is another type of supraventricular tachycardia characterized by short PR intervals, delta waves and wide QRS complexes on the surface electrocardiogram (ECG), reflecting atrioventricular pre-excitation. Uncommonly, AV nodal reentry and accessory pathways can coexist. In this case report, we present a patient who had frequent episodes of palpitation and syncope and recently presented to the emergency department (ED) with the complaint of dizziness. We performed successful radiofrequency (RF) catheter ablation of mitral annulus posterolateral accessory pathway and AVNRT which was the cause of the second tachycardia induced during the same session.

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