{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:57Z","timestamp":1753876257629,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T00:00:00Z","timestamp":1631664000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Wide complex tachycardia (WCT) associated with syncope as manifestation of an underlying, life-threatening arrhythmia might potentially be the harbinger of sudden cardiac death. Identifying the aetiology of a WCT is imperative to provide appropriate treatment and prevent recurrence.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report the case of a 22-year-old male who had been experiencing haemodynamically significant WCT leading to syncope at the age of 13\u2009years. As the patient and the family rejected an electrophysiological (EP) study, he had received an implantable cardioverter-defibrillator (ICD) for secondary prevention. After 7 years of experiencing multiple shocks, the patient finally gave consent to an EP study, which identified a left-sided accessory atrioventricular pathway that was successfully ablated during the same procedure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The differential diagnosis of WCT might be challenging and includes both ventricular and supraventricular tachycardias. In young patients without structural heart disease experiencing WCT, an EP study should be offered before ICD implantation to make a final diagnosis with the potential to provide definitive treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab368","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T14:53:46Z","timestamp":1631717626000},"source":"Crossref","is-referenced-by-count":0,"title":["A case report of a patient with wide complex tachycardia due to Wolff\u2013Parkinson\u2013White syndrome mimicking ventricular tachycardia"],"prefix":"10.1093","volume":"5","author":[{"given":"Stefan","family":"Preisend\u00f6rfer","sequence":"first","affiliation":[{"name":"Department of Electrophysiology, German Heart Center Munich, Technical University of Munich, Lazarettstra\u00dfe 36, 80636 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Hessling","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, German Heart Center Munich, Technical University of Munich, Lazarettstra\u00dfe 36, 80636 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5826-6846","authenticated-orcid":false,"given":"Isabel","family":"Deisenhofer","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, German Heart Center Munich, Technical University of Munich, Lazarettstra\u00dfe 36, 80636 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4861-6595","authenticated-orcid":false,"given":"Felix","family":"Bourier","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, German Heart Center Munich, Technical University of Munich, Lazarettstra\u00dfe 36, 80636 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"2021092700322261300_ytab368-B1","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1016\/j.ajem.2017.07.056","article-title":"The differential diagnosis of wide QRS complex tachycardia","volume":"35","author":"Brady","year":"2017","journal-title":"Am J Emerg Med"},{"key":"2021092700322261300_ytab368-B2","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/j.joa.2017.07.007","article-title":"Syncope in patients with inherited arrhythmias","volume":"33","author":"Nakano","year":"2017","journal-title":"J Arrhythm"},{"key":"2021092700322261300_ytab368-B3","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1161\/01.CIR.87.3.866","article-title":"A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 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