Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1975 Feb;37(2):127–135. doi: 10.1136/hrt.37.2.127

Problems concerning assessment of anatomical site of accessory pathway in Wolff-Parkinson-White syndrome.

R A Spurrell, D M Krikler, E Sowton
PMCID: PMC484093  PMID: 1122270

Abstract

Twp patients with type B WPW syndrome and reciprocal tachycardias have been studied using intracardiac electrograms and programmed electrical stimulation of the heart. One patient, who had a right-sided accessory pathway giving the surface electrocardiographic appearances of type B WPW syndrome, was shown to have an additional left-sided accessory pathway as occurs in type A WPW syndrome. This concealed left-sided atrioventricular connexion formed the retrograde pathway during reciprocal tachycardia. In the second patient the appearances of type B WPW syndrome were shown to be caused by an accessory pathway between the atrial septum and the right side of the interventricular septum rather than an accessory pathway in the right atrioventricular groove. The significance of these findings when considering surgical interruption of an accessory atrioventricular conduction pathway is discussed.

Full text

PDF
127

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Boineau J. P., Moore E. N., Spear J. F., Sealy W. C. Basis of static and dynamic electrocardiographic variations in Wolff-Parkinson-White syndrome. Anatomic and electrophysiologic observations in right and left ventricular preexcitation. Am J Cardiol. 1973 Jul;32(1):32–45. doi: 10.1016/s0002-9149(73)80084-0. [DOI] [PubMed] [Google Scholar]
  2. Cole J. S., Wills R. E., Winterscheid L. C., Reichenbach D. D., Blackmon J. R. The Wolff-Parkinson-White syndrome: problems in evaluation and surgical therapy. Circulation. 1970 Jul;42(1):111–121. doi: 10.1161/01.cir.42.1.111. [DOI] [PubMed] [Google Scholar]
  3. Durrer D., Schuilenburg R. M., Wellens H. J. Pre-excitation revisited. Am J Cardiol. 1970 Jun;25(6):690–697. doi: 10.1016/0002-9149(70)90620-x. [DOI] [PubMed] [Google Scholar]
  4. Josephson M. E., Caracta A. R., Lau S. H. Alternating type A and type B Wolff-Parkinson-White syndrome. Am Heart J. 1974 Mar;87(3):363–366. doi: 10.1016/0002-8703(74)90079-9. [DOI] [PubMed] [Google Scholar]
  5. LEV M., GIBSON S., MILLER R. A. Ebstein's disease with Wolff-Parkinson-White syndrome; report of a case with a histopathologic study of possible conduction pathways. Am Heart J. 1955 May;49(5):724–741. doi: 10.1016/0002-8703(55)90218-0. [DOI] [PubMed] [Google Scholar]
  6. MATTER B. J., HAYES W. L. WOLFF-PARKINSON-WHITE SYNDROME. REPORT OF A CASE WITH BOTH TYPE A AND TYPE B PRE-EXCITATION. Am J Cardiol. 1964 Feb;13:284–286. doi: 10.1016/0002-9149(64)90184-5. [DOI] [PubMed] [Google Scholar]
  7. Mann R. B., Fisher R. S., Scherlis S., Hutchins G. M. Accessory left atrioventricular connection in type A Wolff-Parkinson-White syndrome. Johns Hopkins Med J. 1973 Apr;132(4):242–249. [PubMed] [Google Scholar]
  8. Massumi R. A., Sarin R. K., Tawakkol A. A., Rios J. C., Jackson H. Time sequence of right and left atrial depolarization as a guide to the origin of the P waves. Am J Cardiol. 1969 Jul;24(1):28–36. doi: 10.1016/0002-9149(69)90047-2. [DOI] [PubMed] [Google Scholar]
  9. Ramachandran S. Wolff-Parkinson-White syndrome. Conversion of type A to type B electrocardiographic changes. Circulation. 1972 Mar;45(3):529–533. doi: 10.1161/01.cir.45.3.529. [DOI] [PubMed] [Google Scholar]
  10. Sano T., Suzuki F., Tsuchihashi H. Function of potential bypass tracts for atrioventricular conduction. Circulation. 1970 Mar;41(3):413–422. doi: 10.1161/01.cir.41.3.413. [DOI] [PubMed] [Google Scholar]
  11. Scherlag B. J., Lau S. H., Helfant R. H., Berkowitz W. D., Stein E., Damato A. N. Catheter technique for recording His bundle activity in man. Circulation. 1969 Jan;39(1):13–18. doi: 10.1161/01.cir.39.1.13. [DOI] [PubMed] [Google Scholar]
  12. Spurrell R. A., Krikler D., Sowton E. Two or more intra AV nodal pathways in association with either a James or Kent extranodal bypass in 3 patients with paroxysmal supraventricular tachycardia. Br Heart J. 1973 Feb;35(2):113–122. doi: 10.1136/hrt.35.2.113. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Wallace A. G., Sealy W. C., Gallagher J. J., Svenson R. H., Strauss H. C., Kasell J. Surgical correction of anomalous left ventricular pre-excitation: Wolff-Parkinson-White (type A). Circulation. 1974 Feb;49(2):206–213. doi: 10.1161/01.cir.49.2.206. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES