Skip Navigation

European Heart Journal 1982 3(3):267-275;
Copyright © 1982 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by WARD, D. E.
Right arrow Articles by CAMM, A. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by WARD, D. E.
Right arrow Articles by CAMM, A. J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1982 by The European Society of Cardiology

Ventriculo-atrial conduction over accessory pathways exhibiting decremental properties

D. E. WARD*, and A. J. CAMM{dagger}

*Cardiac Department, St Bartholomew's Hospital, West Smithfield London EC1A 7BE
{dagger}Cardiac Department,St Bartholomow‘s Hospital, West Smithfield, London ECIA 7BA

Received 27 July 1981; revised 26 August 1981; .

Requests for reprints to: Dr D. E. Ward, Cardiac Department, Brompton Hospital, London SW3 6HP.

Abstract

Recent evidence has suggested that some anomalous ventriculo-atrial (VA) connections may exhibit decremental conduction. These pathways may provide an anatomical substrate for tachycardia, but may also be discovered incidentally at study. In this report we describe two patients in whom electrophysiological studies suggested the presence of an atypical VA pathway. In one case ventricular extrastimulation induced eccentric atrial activation with progressive VA delay. In another patient, these features were seen in addition to a sudden jump in VA conduction time suggesting the presence of an anomalous pathway exhibiting functional duality. In neither case could tachycardia be induced.

The implications of these findings are discussed and the literature reviewed.

Key Words: Cardiac electrophysiology • anomalous conduction • Wolff-Parkinson-White syndrome


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.