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First diagnosed paroxysm of atrial fibrillation during catheter ablation for Wolf–Parkinson–White syndrome

https://doi.org/10.30629/0023-2149-2025-103-2-146-151

Abstract

Central Military Clinical Hospital named after P.V. Mandryk of the Ministry of Defense of Russia, Moscow, Russia The Wolff–Parkinson–White (WPW) syndrome is a relatively rare arrhythmia compared to atrial fibrillation and atrial flutter; however, after excluding atrial fibrillation and flutter from the statistics, pre-excitation syndromes of the ventricular myocardium account for 25% of supraventricular tachycardias. Due to the characteristic clinical picture on the ECG, which is often sufficient for diagnosing the condition, patients with WPW syndrome are quickly referred to specialized hospitals for further treatment. Currently, catheter ablation is the primary method of treating WPW syndrome. This article presents a clinical case of intraoperative induction of atrial fibrillation with frequent antegrade conduction to the ventricular myocardium via an accessory atrioventricular connection.

About the Authors

V. I. Steklov
Central Military Clinical Hospital named after P.V. Mandryk of the Ministry of Defense of Russia
Russian Federation

Vladimir I. Steklov — Doctor of Medical Sciences, Associate Professor,
Head of the Center for Interventional Cardiology, Arrhythmology and
Electrocardiostimulation of X-ray Surgical Methods of Diagnosis and
Treatment

Moscow



S. O. Lependin
Central Military Clinical Hospital named after P.V. Mandryk of the Ministry of Defense of Russia
Russian Federation

Sergey O.Lependin — cardiovascular surgeon at the Department of
X-ray Surgical Methods for the Diagnosis and Treatment of Complex
Cardiac Arrhythmias

Moscow



N. V. Morozova
Central Military Clinical Hospital named after P.V. Mandryk of the Ministry of Defense of Russia
Russian Federation

Natalia V. Morozova — Head of the Functional Diagnostics Office
at the Center for Interventional Cardiology, Arrhythmology and
Electrocardiostimulation of X-ray Surgical Methods of Diagnosis and
Treatment

Moscow



References

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Review

For citations:


Steklov V.I., Lependin S.O., Morozova N.V. First diagnosed paroxysm of atrial fibrillation during catheter ablation for Wolf–Parkinson–White syndrome. Clinical Medicine (Russian Journal). 2025;103(2):146-151. (In Russ.) https://doi.org/10.30629/0023-2149-2025-103-2-146-151

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)