Document Detail


Analysis of re-entry mechanism in a patient with concealed Wolff-Parkinson-White syndrome.
MedLine Citation:
PMID:  7638041     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report deals with a patient with concealed Wolff-Parkinson-White syndrome in whom both narrow and wide QRS tachycardias were observed. The simultaneous occurrence of various QRS morphology during supraventricular tachycardia results in a challenging diagnostic ECG problem. The cycle length during tachycardia with left bundle branch block was longer than the cycle length during narrow QRS supraventricular tachycardia and with functional right bundle-branch block. Electrophysiologic studies revealed an increased V-A conduction time during tachycardia with left bundle branch block. These studies suggested the presence of a concealed left-sided anomalous pathway. Differentiation between intra- and extranodal re-entry and therapeutic modalities are also discussed.
Authors:
G Veress
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta medica Hungarica     Volume:  50     ISSN:  0236-5286     ISO Abbreviation:  Acta Med Hung     Publication Date:  1994  
Date Detail:
Created Date:  1995-09-14     Completed Date:  1995-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8400269     Medline TA:  Acta Med Hung     Country:  HUNGARY    
Other Details:
Languages:  eng     Pagination:  43-54     Citation Subset:  IM    
Affiliation:
State Hospital for Cardiology, Balatonfüred, Hungary.
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MeSH Terms
Descriptor/Qualifier:
Adult
Electrocardiography*
Humans
Male
Tachycardia, Atrioventricular Nodal Reentry / etiology,  physiopathology*
Wolff-Parkinson-White Syndrome / diagnosis,  physiopathology*

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