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Spontaneous automaticity of an atriofascicular accessory pathway
In a 12-year-old girl with history of recurrent palpitation, an ambulatory 24 h Holter electrocardiogram showed a wide QRS complex rhythm with atrioventricular dissociation. During an electrophysiology study, an atriofascicular pathway was diagnosed with an inducible antidromic atrioventricular re-entrant tachycardia. At slower heart rates, the patient had a wide QRS complex escape rhythm similar to the tachycardia and the pre-excited QRS complex morphology. This indicates the presence ofdoi:10.1093/europace/euj003 pmid:16627427 fatcat:q2mln72ta5doxeqypqoit2gup4