Skip to main navigation Skip to search Skip to main content

Concertina-like phenomenon in ventricular preexcitation due to spontaneous atrioventricular nodal wenckebach periodicity

  • M. S. Wen
  • , S. J. Yeh
  • , C. C. Wang
  • , F. C. Lin
  • , D. Wu*
  • *Corresponding author for this work
  • Chang Gung Mem. and Children's Hosp.

Research output: Contribution to journal › Journal Article › peer-review

Abstract

Electrophysiologic study and radiofrequency ablation therapy were performed in a 28-year-old male patient with the Wolff-Parkinson-White syndrome and electrocardiographic manifestation of concertina phenomenon. His bundle recordings showed a sinus cycle length of 720=ms with a cyclic variation of QRS morphologies of every 3 beats and an antidromic atrial echo following the last fully preexcited QRS complex. After successful radiofrequency ablation of a left posterior accessory pathway, spontaneous 3:2 atrioventricular nodal Wenckebach periodicity was noted and the mechanism of the concertina phenomenon was unraveled.

Original languageEnglish
Pages (from-to)937-938
Number of pages2
JournalChest
Volume105
Issue number3
DOIs
StatePublished - 1994
Externally publishedYes

Fingerprint

Dive into the research topics of 'Concertina-like phenomenon in ventricular preexcitation due to spontaneous atrioventricular nodal wenckebach periodicity'. Together they form a unique fingerprint.

Cite this