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Nicholas J. Rohrhoff, MD, LT, MC (UMO/DMO), USN, Huckelberry A

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Presentation on theme: "Nicholas J. Rohrhoff, MD, LT, MC (UMO/DMO), USN, Huckelberry A"— Presentation transcript:

1 A sailor's dilemma: A case of preexcitation via a fasciculoventricular pathway 
Nicholas J. Rohrhoff, MD, LT, MC (UMO/DMO), USN, Huckelberry A. Finne, MD, LCDR, MC (UMO/DMO), USN, Yasser Rodriguez, MD, MBA  HeartRhythm Case Reports  Volume 3, Issue 7, Pages (July 2017) DOI: /j.hrcr Copyright © Terms and Conditions

2 Figure 1 Patient's 12-lead surface electrocardiogram. Sinus rhythm at 75 beats per minute, PR interval of 128 ms, QRS interval of 98 ms, and QTc interval of 411 ms. Evidence of preexcitation demonstrated by slurred QRS upstroke (delta wave) in leads V4-V6. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © Terms and Conditions

3 Figure 2 Intracardiac tracing during atrial pacing at 500 msec during adenosine infusion in a similar case.14 FVP is identified by prolongation of the AH interval and constant degree of preexcitation with fixed H-V interval. When AV node is blocked, block occurs in accessory pathway simultaneously. (Republished with permission of John Wiley and Sons Inc from the Journal of Cardiovascular Electrophysiology; permission conveyed through copyright clearance center). HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © Terms and Conditions

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