Lown-Ganong-Levine Syndrome
OVERVIEW
- bypass close to the AV node connecting the left atrium and the His bundle.
- cause of accessory path arrhythmia
CLINICAL FEATURES
- palpitations
- collapse
INVESTIGATIONS
- ECG:
-> very short PR intervals
-> sinus rhythm with ventricular extrasystoles
-> no delta wave (how to differentiate from WPW)
-> normal QRS - Holter monitor:
-> frequency and severity of attacks - ECHO: to rule out structural heart disease
MANAGEMENT
- vagal manoeuvre’s
- avoid alcohol
- avoid coffee
- electrophysiological study and ablation
LITFL
- Lown–Ganong–Levine syndrome – ECG library
- Bernard Lown (1921 – ) – Eponymictionary
- William Francis ‘Fran’ Ganong Jr. (1924 – 2007) – Eponymictionary
- Samuel Albert Levine (1891 – 1966) – Eponymictionary
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC
