Work

Cardiac arrest in an adolescent with Uhl’s anomaly: Two unusual cardiac arrhythmia mechanisms

Year: 2016

Type: article

Abstract: KEY TEACHING POINTS•Cardiac arrest in patients with Uhl’s disease may be secondary to multiple different arrhythmias, as shown in our case report—atrioventricular (AV) node reentrant tachycardia and fascicular–ventricular tachycardia—and is not exclusively a result of ventricular tachycardia.•While previously reported in adult patients, 1:2 AV conduction and AV node reentrant tachycardia can occur in the adolescent age group. AV node reentrant tachycardia can be associated with 2:1 ventricular-to-atrial conduction.•In the setting of unusual cardiac anatomy (Uhl’s disease) and conduction system anomalies, we provide evidence for a novel mechanism for a wide complex QRS tachycardia (fascicular–ventricular reentrant tachycardia). Open table in a new tab

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2016.03.004

Authors: Jeffrey P. Moak, Gail D. Pearson, Bradley Clark, Charles I. Berul, Russell R. Cross, Dilip S. Nath

Institution: Children's National

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,100