Adenosine for Unmasking Latent Pre-Excitation: an Unpleasant Surprise

Authors

  • Georgios Servos Agios Andreas Hospital, Patras
  • Georgios Almpanis Agios Andreas Hospital, Patras
  • Pantelis Papathanassiou Agios Andreas Hospital, Patras
  • Dimitrios Dimopoulos Agios Andreas Hospital, Patras
  • Maria Militsopoulou Agios Andreas Hospital, Patras
  • Persefoni Koutsogiannou Agios Andreas Hospital, Patras
  • Andreas Mazarakis Agios Andreas Hospital, Patras

DOI:

https://doi.org/10.2015/hc.v7i1%20Sup.490

Keywords:

adenosine, preexcitation, Wolff-Parkinson-White syndrome

Abstract

A 33-year-old kickboxing athlete presented to the emergency room (ER) with an intermittent chest pain, which had started an hour earlier. ECG on arrival revealed q wave in the inferior leads, minimal ST elevation in the same leads, without depolarization abnormalities. The patient was able to recall having been kicked in the chest a few months back during training. While being in the ER the pain recurred. The second ECG had no repolarization changes, but revealed a positive QRS (R>S) in lead V1... (excerpt)

Author Biography

Georgios Servos, Agios Andreas Hospital, Patras

Specialty: Cardiology

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Published

2012-04-10

Issue

Vol. 7 No. 1 Sup (2012)

Section

ATHENS CARDIOLOGY UPDATE 2012

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