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Development of Malignant Ventricular Arrhythmias in a Young Male with WPW Pattern
Authors:Alim Erdem  Nihat Madak  Ahmet Yilmaz  Osman Can Yontar  Hasan Yucel  Ibrahim Gul  Izzet Tandogan
Institution:1.Cardiology Department, Sivas Public Hospital, Kars, Turkey;2.Cardiology Department, Malatya Public Hospital, Malatya, Turkey;3.Cardiology Department, School of Medicine, Cumhuriyet University, Sivas, Turkey
Abstract:In Wolff-Parkinson-White Syndrome (WPW), presence of accessory pathways causes various tachyarrhythmias that lead to different symptoms and clinical conditions in patients. Atrial fibrillation is observed in about 20-30% of this group of patients. Life threatening malignant ventricular arrhythmias and sudden cardiac deaths are observed in patients having rapid conduction in accessory pathways and short antegrade refractory periods (<250 msn). We present a WPW syndrome case that presented to the emergency service with narrow QRS tachycardia and later developed malignant ventricular arrhythmia.
Keywords:WPW syndrome  life threatening arrhythmias
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