Document Detail


Heterodromia in accessory A-V connections.
MedLine Citation:
PMID:  1191205     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 15 patients with WPW-syndrome the atrio-ventricular and ventriculoatrial conduction was studied by recording of intracardiac potentials during atrial and ventricular pacing. Typical differences in the patterns of normal and accessory A-V conduction identified accessory V-A conduction in 13 patients. According to the evaluation of accessory A-V and V-A conductivity by high rate pacing the patients studied can be divided into three groups: Group I (5 pat): equally good accessory A-V and V-A conductivity. Group II (5 pat): good accessory A-V and impaired accessory V-A conductivity. Group III (5 pat): impaired accessory A-V and good V-A conductivity. In group I the course of investigation was repeated after the application of Ajmaline. The distinct heterodromia in group II and III and the different behaviour of the accessory A-V and V-A conduction after Ajmaline can be explained by the in vitro experiments of Fuente (3). According to our results and to the finding that an excellent accessory V-A conduction is a presupposition for the initiation of supraventricular re-entry tachycardia, it seems mandatory to analyze accessory A-V and V-A conduction properties as well.
Authors:
H Neuss; M Schlepper; H F Spies
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Basic research in cardiology     Volume:  70     ISSN:  0300-8428     ISO Abbreviation:  Basic Res. Cardiol.     Publication Date:    1975 Jul-Aug
Date Detail:
Created Date:  1976-01-23     Completed Date:  1976-01-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0360342     Medline TA:  Basic Res Cardiol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  364-76     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Ajmaline / pharmacology
Atrioventricular Node / physiopathology*
Bundle of His / physiopathology
Electrophysiology
Female
Heart Block / physiopathology
Heart Conduction System / physiopathology*
Heart Rate
Humans
Male
Middle Aged
Neural Conduction* / drug effects
Wolff-Parkinson-White Syndrome / physiopathology*
Chemical
Reg. No./Substance:
4360-12-7/Ajmaline

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


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