Wolf-parkinson-white Syndrome Presented with Broad QRS Complex Tachycardia  

Oleh:

Manurung, Daulat ; Yamin, Muhammad

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi: Acta Medica Indonesiana vol. 39 no. 01 (Jan. 2007), page 33.
Topik: QRS complex tachycardia. diagnosis. wolf parkinson-white (WPW) syndrome.

Ketersediaan

Perpustakaan FK Nomor Panggil: A02.K.2004.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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ABSTRACT Broad QRS complex tachycardia is tachycardia with widened QRS complex more than 12 s and caused by various mechanisms. either supraventricular or ventricular. It is important to differentiate between ventricular and supraven¬ tricular because it will determine treatment and prognosis of patients. We report a case which was referred to us and first diagnosed as ventricular tachycardia but happened to be atrialjibrillation with RBBB. On ECG examination wefound irregular broad complex of tachycardia, RBBB, extreme right axis and heart rate 170-180 beat/minute. Intravenous bolus of 300 mg amiodarone was administered within 30 minutes and colltinued with 900 mg/24 hours. During administration of amiodarone, heart rhythm was converted to sinus rhythm with short PR interval (0.09 s), left axis deviation. and positive delta wave at lead VI. The final diagnosis of wolfparkinson-white (WPW) syndrome was then confirmed. Intravenous bolus of 300 mg amiodarone was adminis¬tered within 30 minutes and continued with 900 mg124 hours. During administration of amiodarone, heart rhythm was converted to sinus rhythm with short PR interval (0.09 s), left axis deviation, and positive delta wave at lead V 1. The final diagnosis of wolf-parkinson-white (WPW) syndrome was then confirmed CASE IllUSTRATION A 65-year-old gentleman was referred to ER for further management of his ventricular tachycardia. He had no symptoms until 9 hours before admission when he felt a sudden onset of palpitation and accompanied by chest pain and sweating. He then visited a physician at a private hospital who diagnosed him of having ventricular tachycardia. He had never experienced such a bad palpitation before. He had no history of near-or syncopal attack and had no family history of sudden cardiac death.

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