Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries

A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The p...

Descripción completa

Detalles Bibliográficos
Autores principales: Shenthar, Jayaprakash, Rai, Maneesh K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
EP/Device Round
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4750132/
https://www.ncbi.nlm.nih.gov/pubmed/26937115
http://dx.doi.org/10.1016/j.ipej.2015.10.003
_version_ 1782415383639097344
author Shenthar, Jayaprakash
Rai, Maneesh K.
author_facet Shenthar, Jayaprakash
Rai, Maneesh K.
author_sort Shenthar, Jayaprakash
collection PubMed
description A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered – complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed.
format Online
Article
Text
id pubmed-4750132
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-47501322016-03-02 Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries Shenthar, Jayaprakash Rai, Maneesh K. Indian Pacing Electrophysiol J EP/Device Round A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered – complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed. Elsevier 2015-10-19 /pmc/articles/PMC4750132/ /pubmed/26937115 http://dx.doi.org/10.1016/j.ipej.2015.10.003 Text en Copyright © 2015, Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle EP/Device Round
Shenthar, Jayaprakash
Rai, Maneesh K.
Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries
title Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries
title_full Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries
title_fullStr Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries
title_full_unstemmed Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries
title_short Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries
title_sort diagnostic dilemma with a narrow qrs regular rhythm at normal rates in a patient with corrected transposition of great arteries
topic EP/Device Round
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4750132/
https://www.ncbi.nlm.nih.gov/pubmed/26937115
http://dx.doi.org/10.1016/j.ipej.2015.10.003
work_keys_str_mv AT shentharjayaprakash diagnosticdilemmawithanarrowqrsregularrhythmatnormalratesinapatientwithcorrectedtranspositionofgreatarteries
AT raimaneeshk diagnosticdilemmawithanarrowqrsregularrhythmatnormalratesinapatientwithcorrectedtranspositionofgreatarteries

Ejemplares similares