LONG RP TACHYCARDIA: What is the mechanism?
Abstract
Seorang anak perempuan, 11 tahun dikonsulkan ke poli Aritmia dengan keluhan sesak dan berdebar. Rasa berdebar sudah dirasakan sejak lebih dari satu tahun yang lalu. Akhir-akhir ini pasien juga mengeluh sesak dan mudah capek. Pada pemeriksaan fisik didapatkan batas jantung kiri yang membesar dengan fixed wide split bunyi jantung kedua. Tidak terlihat sianosis. Ekokardiografi menunjukkan sebuah atrial septal defek sekundum yang besar dengan diameter 2.5 cm. Pasien mengalami takikardia incessant yang tidak respon dengan beberapa anti-aritmia dengan rekaman EKG 12 sadapan diperlihatkan di bawah ini.Tampak suatu takikardia regular dengan laju 115 kpm. Durasi QRS sempit (110 mdet) dengan morfologi gelombang P di belakang setiap kompleks QRS. Jarak awitan kompleks QRS ke awitan gelombang P
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References
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Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, et al. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation 2015.
Josephson ME, Wellens HJ. Differential diagnosis of supraventricular tachycardia. Cardiol Clin 1990;8(3):411-42.
Lerman BB, Greenberg M, Overholt ED, Swerdlow CD, Smith RT, Jr., Sellers TD, et al. Differential electrophysiologic properties of decremental retrograde pathways in long RP’ tachycardia. Circulation 1987;76(1):21-31.
Letsas KP, Weber R, Siklody CH, Mihas CC, Stockinger J, Blum T, et al. Electrocardiographic differentiation of common type atrioventricular nodal reentrant tachycardia from atrioventricular reciprocating tachycardia via a concealed accessory pathway. Acta Cardiol 2010;65(2):171-6.
Ruder MA, Davis JC, Eldar M, Abbott JA, Griffin JC, Seger JJ, et al. Clinical and electrophysiologic characterization of automatic junctional tachycardia in adults. Circulation 1986;73(5):930-7.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, et al. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation 2015.
Published
2016-03-03
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How to Cite
Yuniadi, Y. (2016). LONG RP TACHYCARDIA: What is the mechanism?. Indonesian Journal of Cardiology, 36(3), 180-2. https://doi.org/10.30701/ijc.v36i3.484
Section
Forum Aritmia
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