Isolated palpitations and ventricular pre-excitation
Miguel A Arias1, Marta Pachón1, Cristina Martín-Sierra1
1Arrhythmia Unit Department of Cardiology Complejo Hospitalario Universitario de Toledo Toledo Spain.
Journal of Arrhythmia
|August 13, 2020
Summary
A young man experienced palpitations due to a rare heart condition. Electrophysiologic study confirmed a fasciculoventricular accessory pathway, a type of ventricular pre-excitation.
Area of Science:
- Cardiology
- Electrophysiology
- Cardiac Electrophysiology
Background:
- Palpitations are a common reason for medical consultation.
- Ventricular pre-excitation on electrocardiogram (ECG) suggests an accessory pathway.
- Fasciculoventricular pathways are uncommon causes of pre-excitation.
Purpose of the Study:
- To report a case of isolated palpitations.
- To describe the diagnostic findings of ventricular pre-excitation.
- To identify the specific accessory pathway responsible.
Main Methods:
- Patient presentation with isolated palpitations.
- Twelve-lead electrocardiogram (ECG) for rhythm and conduction assessment.
- Electrophysiologic study (EPS) for precise pathway localization.
Main Results:
- ECG revealed sinus rhythm with ventricular pre-excitation.
- Electrophysiologic study confirmed a fasciculoventricular accessory pathway.
- This pathway was identified as the cause of the patient's symptoms.
Conclusions:
- Fasciculoventricular accessory pathways can cause isolated palpitations.
- ECG and EPS are crucial for diagnosing and localizing these pathways.
- Accurate diagnosis ensures appropriate management of pre-excitation syndromes.
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