Dilated Cardiomyopathy: An Unexpected Complication of Rapidly Conducted Atrial Flutter in the Wolff-Parkinson-White Syndrome

2012 ◽  
Vol 28 (1) ◽  
pp. 119.e5-119.e7 ◽  
Author(s):  
Maneesh Sud ◽  
Hein J. Wellens ◽  
Davinder S. Jassal ◽  
Aliasghar Khadem
Keyword(s):  
Dilated Cardiomyopathy ◽  
Atrial Flutter ◽  
White Syndrome ◽  
Wolff Parkinson White Syndrome

Atrial flutter and atrial fibrillation associated with Wolff-Parkinson-White syndrome in childhood

1980 ◽  
Vol 1 (3) ◽  
pp. 197-202 ◽  
Author(s):  
Ashok V. Mehta ◽  
Arthur S. Pickoff ◽  
Arthur Raptoulis ◽  
Grace S. Wolff ◽  
Otto L. Garcia ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
White Syndrome ◽  
Wolff Parkinson White Syndrome

scholarly journals A case of wide complex tachycardia in wolff-parkinson-white syndrome

2019 ◽  
Vol 6 (4) ◽  
pp. 1
Author(s):  
Jonathan Lowenthal ◽  
Jack Xu ◽  
Eric Pagan ◽  
Richard Tangel ◽  
Daniel Schaer ◽  
...  
Keyword(s):  
Atrial Flutter ◽  
Accessory Pathway ◽  
White Syndrome ◽  
Presenting Symptoms ◽  
Wide Complex Tachycardia ◽  
Pr Interval ◽  
History Of ◽  
Ventricular Preexcitation ◽  
Posteroseptal Accessory Pathway ◽  
Wolff Parkinson White Syndrome

The manifestation of atrial flutter, particularly with 1:1 conduction, is rare in patients with ventricular preexcitation secondary to Wolff-Parkinson-White Syndrome (WPW). Very few cases have been reported in the literature. We present a 40-year old male with a history of untreated WPW who presented with severe chest pain and shortness of breath. He was found to have a rapid, regular, wide complex tachycardia. He underwent successful synchronized cardioversion, in which the patient converted tonormal sinus rhythm with classic WPW waveform characteristics, including a shortened PR interval and prolonged QRS complex with a slurred upstroke. Surprisingly, a subsequent electrophysiology study revealed atrial flutter, with bystander conduction of 1:1 atrial flutter being the most likely cause of the patient’s presenting symptoms, and a posteroseptal accessory pathway consistent with the diagnosis of WPW. While considerably rarer than ventricular tachycardia or AVRT, it is nevertheless important for clinicians to consider atrial flutter with 1:1 conduction as a potential diagnosis in patients with WPW presenting with wide complex tachycardia.

scholarly journals Mechanisms of spontaneous alternation between reciprocating tachycardia and atrial flutter-fibrillation in the Wolff-Parkinson-White syndrome.

Circulation ◽  
1977 ◽  
Vol 56 (3) ◽  
pp. 409-416 ◽  
Author(s):  
R J Sung ◽  
A Castellanos ◽  
S M Mallon ◽  
M G Bloom ◽  
H Gelband ◽  
...  
Keyword(s):  
Atrial Flutter ◽  
Spontaneous Alternation ◽  
White Syndrome ◽  
Wolff Parkinson White Syndrome
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