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Cardiac arrest in concomitant Wolff-Parkinson-White syndrome and early repolarisation: is pathway ablation enough?
  1. Antonio Frontera,
  2. Glyn Thomas,
  3. Edward Duncan
  1. Department of Cardiology, Bristol Heart Institute, University Hospital Bristol NHS Trust, Bristol BS28HW, UK
  1. Correspondence to Dr Antonio Frontera, Electrophysiology Cath Lab, Bristol Heart Institute, University Hospitals Bristol BS28HW, UK; a.frontera{at}gmail.com

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A 24-year-old soldier suffered a cardiac arrest while shopping. Ventricular fibrillation was diagnosed and sinus rhythm restored with an external DC cardioversion. A 12-lead ECG confirmed sinus rhythm with evidence of ventricular pre-excitation (see Figure 1). Inpatient investigations including serum biochemistry, serum troponin, echocardiography and cardiac magnetic resonance scans revealed no abnormality. A diagnostic electrophysiological study confirmed a rapidly conducting (refractory period 340 msec) left …

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