Wolff-Parkinson-White syndrome and dilated cardiomyopathy: Not only an electrical issue?

The present case describes a dilated cardiomyopathy associated with both antidromic and orthodromic atrio-ventricular reentrant tachycardias supported by multiple right accessory pathways. Both right accessory pathways were successfully eliminated by catheter ablation and the patient progressively r...

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Bibliographic Details
Published in:Journal of electrocardiology 2023-05, Vol.78, p.21-24
Main Authors: Capocci, Sofia, Rubino, Francesca, Setti, Martina, Butturini, Caterina, Tomasi, Luca, Bolzan, Bruna, Piccoli, Anna, Ribichini, Flavio Luciano, Mugnai, Giacomo
Format: Article
Language:English
Subjects:
Accessory Atrioventricular Bundle - surgery
Cardiomyopathy
Cardiomyopathy, Dilated - complications
Cardiomyopathy, Dilated - surgery
Catheter ablation
Catheter Ablation - adverse effects
Electrocardiography
Humans
Pre-Excitation Syndromes - complications
Tachycardia, Ventricular - surgery
Wolff-Parkinson-White syndrome
Wolff-Parkinson-White Syndrome - complications
Wolff-Parkinson-White Syndrome - diagnosis
Wolff-Parkinson-White Syndrome - surgery
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Description
Summary:The present case describes a dilated cardiomyopathy associated with both antidromic and orthodromic atrio-ventricular reentrant tachycardias supported by multiple right accessory pathways. Both right accessory pathways were successfully eliminated by catheter ablation and the patient progressively recovered during the follow up. The following etiologies might be involved: 1) primitive dilated cardiomyopathy (or post-inflammatory); 2) septal dyssinchrony due to ventricular pre-excitation; 3) tachycardiomyopathy.
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2023.01.011