Delta Dalgası Olmayan Wolf-Parkinson-White Sendromlu Bir Hasta
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Bu yazıda
senkop ve önlenmiş ani kardiyak ölüm ile yatırılan, Wolff-Parkinson-White
sendromlu 16 yaşında bir hasta sunuldu. Elektrokardiyografide delta dalgası
olmadan yalnızca kısa PR süresi izlendi. QRS geçiş zonu V2’de idi. Yirmi dört
saatlik kalp ritim takibinde, yalnızca gece saatlerinde belirgin olan delta
dalgası izlendi. Elektrofizyolojik test ile birlikte nonkoroner aortik kasp
bölgesinden sağ anteroseptal aksesuvar yol ablasyonu yapıldı. Ablasyon sonrası
EKG’de normal sinüs ritmi ve sağ dal bloku morfolojisi izlendi; PR süresinde
belirgin bir değişiklik yoktu.
A Patient with Wolff-Parkinson-White Syndrome with No Delta Wave
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We
present a 16-year-old patient with Wolff-Parkinson-White syndrome admitted with
syncope and aborted sudden cardiac death. Electrocardiography showed only a
short PR interval without a delta wave. The QRS transition zone was on V2 in
the precordial leads. Twenty-four-hour ambulatory cardiac rhythm monitoring
showed an obvious delta wave only at night-time. Electrophysiologic testing was
performed and a right anteroseptal accessory pathway was ablated from the
noncoronary aortic cusp. ECG after ablation showed sinus rhythm with right
bundle branch block morphology, with no obvious change in the PR duration.
___
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- 2. Pahlajani DB, Miller RA, Serratto M. Patterns of atrioventricular conduction in children. Am Heart J 1975;90:165-71.
