Document Detail

Closed-chest electrical ablation (fulguration) of atrioventricular accessory pathway in the Wolff-Parkinson-White syndrome: report of the first case in Hawaii.
MedLine Citation:
PMID:  2329044     Owner:  NLM     Status:  MEDLINE    
Wolff-Parkinson-White (WPW) syndrome is a condition characterized by the presence of an atrioventricular (AV) accessory pathway or bypass tract, which is an extraneous piece of muscular tissue connecting atrium to ventricle. This pathway leads to characteristic findings on the electrocardiogram (EKG). Patients with this syndrome are often asymptomatic, but many frequently have various forms of tachyarrhythmias, some of which may be life-threatening. The conventional therapy is medical, by suppression with antiarrhythmic agents. The established alternative to medical therapy has been surgery, with open-chest excisional ablation of the accessory pathway. In experienced centers, this has a high success rate and holds the promise of cure. Unfortunately, it requires thoracotomy, with its not insignificant associated surgical morbidity.
E N Shen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hawaii medical journal     Volume:  49     ISSN:  0017-8594     ISO Abbreviation:  Hawaii Med J     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-05-29     Completed Date:  1990-05-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984209R     Medline TA:  Hawaii Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  92-7, 104     Citation Subset:  IM    
John A. Burns School of Medicine, University of Hawaii.
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MeSH Terms
Atrioventricular Node / physiopathology
Electric Stimulation Therapy / methods*
Wolff-Parkinson-White Syndrome / physiopathology,  therapy*
Erratum In:
Hawaii Med J 1990 May;49(5):following 145

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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