Taquicardia supraventricular por reentrada AV ortodrómica en el síndrome de Wolff Parkinson White

• Autores: Mestre-Sequeda, Epitafio Rafael, Bermúdez-Mercado, Emilio, Jacquin- Serna, Olga Virginia, Mercado-Marchena, Riguey Cecilia, Vargas-Gómez, Jennifer, Torres Acosta, Edwin
• Formato: artículo
• Fecha de Publicación: 2023
• Institución: Sociedad Peruana de Medicina Interna
• Repositorio: Revista de la Sociedad Peruana de Medicina Interna
• Lenguaje: español
• OAI Identifier: oai:medicinainterna.net.pe:article/762
• Enlace del recurso: https://revistamedicinainterna.net/index.php/spmi/article/view/762
• Nivel de acceso: acceso abierto
• Materia: Taquicardia. Síndrome de Wolff-Parkinson-White; Ablación por catéter; Tachycardia. Wolff-Parkinson-White syndrome; Catheter ablation

A 40-year-old man with a history of obesity and cannabis use consulted for an episode of sudden onset palpitations and chest pain. The electrocardiogram showed a preexcitation pattern compatible with WPW syndrome. Catheter ablation was indicated. The electrophysiological study documented a left posterolateral accessory pathway at the level of the posterolateral mitral annulus, with anterograde and retrograde conduction; however, the catheter could not be positioned at the site, with poor contact, so modulation of the endocardial arrhythmic substrate was considered with ambulatory three-dimensional electroanatomic mapping system.