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Non-coronary heart diseases: challenges of verifying the type

By Maria Simonenko, Secondary Prevention and Rehabilitation Section, and colleagues

Chronic Heart Failure
CV Surgery - Transplantation
Risk Factors and Prevention

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


Note: The views and opinions expressed on this page are those of the author and may not be accepted by others. While every attempt is made to keep the information up to date, there is always going to be a lag in updating information. The reader is encouraged to read this in conjunction with appropriate ESC Guidelines. The material on this page is for educational purposes and is not for use as a definitive management strategy in the care of patients. Quiz material on the site are only examples and do not guarantee outcomes from formal examinations.


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Notes to editor

Author information:

Dr. Maria Simonenko, Dr. Petr Fedotov, Dr. Yulia Sazonova
Almazov National Medical Research Centre, St. Petersburg, Russia