Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Palpitation case study one
Introduction
Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[1]
Overview
Overview
A young man presented with isolated palpitations. An ECG showed sinus rhythm with preventricular excitation. Physical examination and echocardiography revealed no positive findings. An electrophysiology study eventually revealed the presence of a fasiculoventricular pathway.
Case study
Case study
- A young man presented with isolated palpitations. *An ECG showed sinus rhythm with ventricular pre-excitation. “Isolated palpitations and ventricular pre‐excitation – Arias – 2020 – Journal of Arrhythmia – Wiley Online Library”.
- Physical examination and echocardiography revealed no positive findings.
- The presence of a positive delta wave in V5 and V6 and a negative wave in V1, raised suspicion for the presence of an accessory pathway.
- A fasiculoventricular accessory pathway is an atypical pathway that connects either the Bundle of His or the fascicles with the ventricular myocardium and the anteroseptal region.
- In the absence of structural heart disease, fasiculoventricular accessory pathways usually present in normal sinus rhythm and the pre-excitation would be minimal.
- An electrophysiology study eventually confirmed the diagnosis.
