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Temporal progression of P wave abnormality in a patient with classical or atriopulmonary Fontan
Journal of Electrocardiology ( IF 1.3 ) Pub Date : 2021-08-13 , DOI: 10.1016/j.jelectrocard.2021.08.008
Utkarsh Kohli 1 , Nita Ray Chaudhuri 2 , Chenni S Sriram 3 , Larry Rhodes 1
Affiliation  

We present the electrocardiographic findings in a 36-year-old female with tricuspid atresia with double-outlet right ventricle and malposition of great arteries who underwent classical or “atriopulmonary” Fontan procedure in childhood. Her electrocardiograms have consistently shown marked intra-atrial delay with an initial positive P wave deflection and terminal negative P deflection in all leads with progressive increase in P wave duration with time. She has had frequent episodes of intra-atrial tachycardia, atrial fibrillation and sinus and post ectopic pauses over the past few years. The findings in our patient, which have not been reported before, illustrate the atrial pathology, which is unique to Fontan physiology, particularly those with classical or atriopulmonary Fontan. We hope that the specific electrocardiographic findings presented will allow for their recognition.



中文翻译:

经典型或房肺 Fontan 患者 P 波异常的时间进展

我们展示了一名 36 岁女性的心电图发现,该女性患有三尖瓣闭锁,双出口右心室和大动脉错位,在儿童时期接受了经典或“房肺”Fontan 手术。她的心电图始终显示明显的房内延迟,所有导联的初始正 P 波偏转和终末负 P 偏转,P 波持续时间随时间逐渐增加。在过去的几年里,她经常发生房内心动过速、心房颤动和窦性心律失常以及异位后停顿。我们患者的发现(以前从未报道过)说明了心房病理学,这是 Fontan 生理学所独有的,特别是那些经典或心房肺 Fontan。

更新日期:2021-08-17
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