Broad complex tachycardia in a young man

被引:0
|
作者
Christ, M. [1 ]
van Bracht, M. [1 ]
Prull, M. W. [1 ]
Trappe, H. J. [1 ]
机构
[1] Klinikum Ruhr Univ Bochum, Klin Kardiol & Angiol, Marienhosp Herne, D-44625 Herne, Germany
来源
NOTFALL & RETTUNGSMEDIZIN | 2013年 / 16卷 / 02期
关键词
Wolff-Parkinson-White syndrome; Atrial fibrillation; FBI tachycardia; Electrophysiology; Radiofrequency ablation; PARKINSON-WHITE-SYNDROME;
D O I
10.1007/s10049-012-1644-z
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report a case of a 24-year-old man suffering from tachycardia and dyspnea. A semi-automatic defibrillator assessed him to have a shockable rhythm: ventricular fibrillation or ventricular tachycardia. Although the diagnosis was wrong the patient was treated correctly. Atrial fibrillation in Wolff-Parkinson-White syndrome can result in a rapid and irregular ventricular response. Because of its characteristic electrocardiograph (ECG) features (fast, broad and irregular) this tachyarrhythmia has been named FBI tachycardia. It can often be diagnosed at the first glance. As it carries the risk to deteriorate into ventricular fibrillation it is a potentially life-threatening clinical condition.
引用
收藏
页码:121 / 124
页数:4
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