The case
- A 30-year-old female patient coped with arrhythmias, such as paroxysmal frequent supraventricular tachycardia, from her early childhood
- At the age of 9 Wolff-Parkinson-White (WPW) syndrome was found. Epicardial catheter ablation (CA) of accessory atrioventricular pathways was performed
- Since she was 13-years-old, frequent syncope-associated ventricular extrasystoles were diagnosed
- When she was 17-years-old, CA of left posterior accessory connections of atrioventricular pathway was performed
- In order to complete atrioventricular block (AV block), a cardiac pacemaker was implanted.
- Since the patients' late 20s, left ventricular ejection fraction (LVEF) has slowly dropped to 30%
- Chronic heart failure New York Heart Association (NYHA) functional class III
Test your knowledge
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