[Recurrent episodes of Morgagni-Adams-Stokes syndrome due to degeneration of atrio-ventricular tachycardias into atrial fibrillation in a patient with Wolf-Parkinson-White syndrome].
We present clinical problems and the therapy of a 52 year old patient with Wolf-Parkinson-White syndrome and numerous episodes of Morgagni-Adams-Stokes syndrome. In that patient atrio-ventricular tachycardia caused atrial fibrillation. Short refractory period of the accessory pathway and the ventricular muscle allowed for extremely fast ventricular rate with haemodynamic collapse and syncope. Long-term treatment with propafenone or amiodarone did not prevent the arrhythmias. Electrophysiological study pre- and intraoperation including the epicardial mapping were performed several weeks after discontinuation of therapy with amiodarone. The studies revealed left free wall accessory pathway. Dr. A. Biederman and al. performed dissection of the accessory pathway. There were no evidence of conduction through the accessory pathway during the post operation electrophysiologic study. The patient has neither reentrant tachycardias nor atrial fibrillation episodes.
I Kliniki Wad Serca, Warszawie.
F
F
Walczak
A
A
Biederman
M
M
Jodkowska
Z
Z
Jedynak
H
H
Rembelska
R
R
Kepski
M
M
Sliwiński
M
M
Hoffman
D000219:Adams-Stokes Syndrome / Q000209:etiology*; D001281:Atrial Fibrillation / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000150:complications; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000601:surgery
Nawracajacy zespół MAS w nastepstwie przekształcania sie czestoskurczu przedsionkowo-komorowego w migotanie przedsionków u chorej z zespołem WPW.