Transesophageal atrial pacing in the Wolff-Parkinson-White syndrome.
In a patient with Wolff-Parkinson-White syndrome, protracted, disabling tachycardia occurred because of low left lateral accessory pathway refractoriness and rapid retrograde conduction, most likely by a septal pathway. Conventional medications, including intravenously administered lidocaine and procainamide, were ineffective in terminating the tachycardia. Transesophageal atrial pacing easily terminated the recurrent supraventricular tachycardia.
D000328:Adult; D004562:Electrocardiography; D004947:Esophagus; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000379:methods*; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis / Q000628:therapy*