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Europace 2002 4(1):99-101; doi:10.1053/eupc.2001.0209
© 2002 by European Society of Cardiology
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ELECTROPHYSIOLOGY

Wide complex tachycardia and congenital heart disease

J.-F. Surmely1, S. Taylor2, M. Payot3 and E. Delacrétaz1

1Division of Cardiology, University Hospital Lausanne, Switzerland; 2Institute of Pathology, University Hospital Lausanne, Switzerland; 3Department of Paediatrics, University Hospital Lausanne, Switzerland

Abstract

We present a patient with congenital heart disease and haemodynamically poorly tolerated wide QRS tachycardia. Differential diagnosis and therapy are discussed. After the patient underwent heart transplantation, and the substrates for ECG abnormalities and arrhythmias were demonstrated in the explanted heart.

Key Words: Wide complex tachycardia, atrial flutter, congenital heart disease, aberrant conduction, Eisenmeger’s syndrome

Correspondence: Etienne Delacretaz, MD, Swiss Cardiovascular Centre Bern, University Hospital, 3010 Bern, Switzerland. E-mail: etienne.delacretaz{at}insel.ch


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