
We present a case of 18 year-old man, without structural heart disease, who suffered from regular and irregular palpitations. ECG was normal during sinus rhythm, and showed LBBB morphology during tachycardia (220/min). Programmable pacing from CS induced sustained atrial fibrillation with normal and wide QRS (LBBB-like, RBBB-like) and minimal RR interval 270 ms. We found and ablate concealed left free wall accessory pathway. During 1-year observation patient stayed asymptomatic.
Diagnosis, Differential, Male, Adolescent, Bundle-Branch Block, Humans, Tachycardia, Atrioventricular Nodal Reentry
Diagnosis, Differential, Male, Adolescent, Bundle-Branch Block, Humans, Tachycardia, Atrioventricular Nodal Reentry
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