Unchanged QRS morphology with atrial pacing in a case of WPW syndrome: What is the mechanism?

We present the case of a 55‐year‐old female who presented for a short episode of palpitation and an electrocardiogram consistent with Wolff‐Parkinson‐White syndrome. She underwent an electrophysiological study showing that during incremental atrial pacing and extrastimulation the stimulus to QRS and...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 2019-02, Vol.42 (2), p.287-288
Main Authors: Tutuianu, Cristina, Saghy, Laszlo, Pap, Robert
Format: Article
Language:English
Subjects:
EKG
Electrocardiography
Electrophysiological recording
Female
Heart Atria - physiopathology
Humans
Middle Aged
Morphology
unchanged QRS
Ventricle
Wolff-Parkinson-White Syndrome - physiopathology
WPW syndrome
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Summary:We present the case of a 55‐year‐old female who presented for a short episode of palpitation and an electrocardiogram consistent with Wolff‐Parkinson‐White syndrome. She underwent an electrophysiological study showing that during incremental atrial pacing and extrastimulation the stimulus to QRS and QRS morphology stayed constant while the His to ventricular (HV) interval shortened. What can be the explanation for the constant QRS morphology, despite shortening HV during atrial pacing?
ISSN:0147-8389
1540-8159
DOI:10.1111/pace.13576