Unusual QRS morphology on ECG: a rare condition and an interesting response to pacing

Pacing Clin Electrophysiol. 2005 Aug;28(8):851-4. doi: 10.1111/j.1540-8159.2005.00177.x.

Abstract

We present the interesting case of a young man with borderline wide QRS complexes noted on electrocardiogram (ECG). The diagnosis of an unusual form of preexcitation was reached using observations from intracardiac tracings at electrophysiology study. Atrial pacing consistently resulted in further widening of the first conducted QRS complex, and the physiology underlying this unusual finding is explored.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Pacing, Artificial / methods
  • Diagnosis, Differential
  • Electrocardiography
  • Humans
  • Male
  • Pre-Excitation Syndromes / diagnosis*
  • Pre-Excitation Syndromes / physiopathology
  • Pre-Excitation Syndromes / therapy