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Published on: July 5, 2021
Beneath the surface: Complete atrioventricular block combined with Wolff-Parkinson-White syndrome and sick sinus
Dongmei Xie1, Ting Yan1, Xin Zhang2
1Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China; West China School of Nursing, Sichuan University, Chengdu 610041, China.
Abstract:
The combination of Wolff-Parkinson-White (WPW) syndrome, sick sinus syndrome (SSS), and complete atrioventricular block (AVB) is seldom reported. We present a case of A 61-year-old male who was admitted with syncope and palpitations. His electrocardiogram showed a preexcited QRS pattern consistent with transient cardiac pauses. WPW syndrome with SSS syndrome was diagnosed. The electrophysiologic study demonstrated the preexcitation through the left accessory pathway, but after its blockages, completed atrioventricular block emerged. The patient ultimately required pacemaker implantation, followed by the ablation of the accessory pathway. AVB may be masked by ventricular preexcitation, and atrioventricular node function should be evaluated before ablation.
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