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A concealed left-sided accessory pathway with nodoventricular conduction features: a case report
Hassan El-Shirbiny1, Moneeb Khalaph1, Philipp Sommer1
1Department of Electrophysiology, Heart and Diabetes Center NRW, Ruhr University Bochum, 32545 Bad Oeynhausen, Germany.
Nodoventricular accessory pathways, rare heart connections, can cause supraventricular tachycardia (SVT). This case shows how detailed electrophysiological studies can diagnose these challenging cases, leading to successful ablation.
Area of Science:
- Cardiology
- Electrophysiology
- Cardiac Surgery
Background:
- Nodoventricular accessory pathways are uncommon connections between the atrioventricular (AV) node and ventricles.
- These pathways often show decremental conduction and can mimic AV nodal re-entrant tachycardia.
- Diagnosing these pathways is difficult, especially without visible pre-excitation.
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