Rapid Recovery from Congestive Heart Failure Following Successful Radiofrequency Catheter Ablation in a Patient with Late Onset of Wolff-Parkinson-White Syndrome

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  • Yodogawa Kenji
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Chiba Hokusoh Hospital, Japan
  • Ono Norihiko
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Chiba Hokusoh Hospital, Japan
  • Seino Yoshihiko
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Chiba Hokusoh Hospital, Japan

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Abstract

A 56-year-old man was admitted because of palpitations and dyspnea. A 12-lead electrocardiogram showed irregular wide QRS complex tachycardia with a slur at the initial portion of the QRS complex. He had preexisting long-standing persistent atrial fibrillation, but early excitation syndrome had never been noted. Chest X-ray showed heart enlargement and pulmonary congestion. He was diagnosed with late onset of Wolff-Parkinson-White syndrome, and congestive heart failure was probably caused by rapid ventricular response of atrial fibrillation through the accessory pathway. Emergency catheter ablation for the accessory pathway was undertaken, and heart failure was dramatically improved.<br>

Journal

  • Internal Medicine

    Internal Medicine 51 (3), 277-280, 2012

    The Japanese Society of Internal Medicine

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