Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries

Jayaprakash Shenthar, Maneesh K. Rai

Research output: Contribution to journalArticle

Abstract

A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered - complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed.

Original languageEnglish
Pages (from-to)180-183
Number of pages4
JournalIndian Pacing and Electrophysiology Journal
Volume15
Issue number3
DOIs
Publication statusPublished - 01-05-2015

Fingerprint

Dissociative Disorders
Transposition of Great Vessels
Atrioventricular Block
Syncope
Dyspnea
Electrocardiography
Lead

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

@article{5154b9abd66c45f9b584f210647a43bd,
title = "Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries",
abstract = "A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered - complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed.",
author = "Jayaprakash Shenthar and Rai, {Maneesh K.}",
year = "2015",
month = "5",
day = "1",
doi = "10.1016/j.ipej.2015.10.003",
language = "English",
volume = "15",
pages = "180--183",
journal = "Indian Pacing and Electrophysiology Journal",
issn = "0972-6292",
publisher = "Indian Pacing and Electrophysiology Group",
number = "3",

}

TY - JOUR

T1 - Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries

AU - Shenthar, Jayaprakash

AU - Rai, Maneesh K.

PY - 2015/5/1

Y1 - 2015/5/1

N2 - A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered - complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed.

AB - A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered - complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed.

UR - http://www.scopus.com/inward/record.url?scp=84949511189&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84949511189&partnerID=8YFLogxK

U2 - 10.1016/j.ipej.2015.10.003

DO - 10.1016/j.ipej.2015.10.003

M3 - Article

VL - 15

SP - 180

EP - 183

JO - Indian Pacing and Electrophysiology Journal

JF - Indian Pacing and Electrophysiology Journal

SN - 0972-6292

IS - 3

ER -