Document Detail


Nodoventricular accessory atrioventricular connection associated with dual atrioventricular pathways: a case report and review of the literature.
MedLine Citation:
PMID:  7276788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case is presented of a patient free from tachyarrhythmias or prior evidence of pre-excitation syndrome, in whom electrophysiologic study revealed evidence of dual AV nodal pathways associated with a nodoventricular bypass tract. Programmed atrial extrastimuli testing revealed that conduction through the fast AV nodal pathway was associated with a normal HV interval and normal QRS morphology. Conduction through the slow AV nodal pathway was always associated with a short HV interval and ventricular pre-excitation. No tachyarrhythmias could be induced with atrial extrastimuli or rapid atrial pacing. Previously reported cases of this pre-excitation variant (all of whom were symptomatic from tachyarrhythmias) are reviewed and the features summarized. This pre-excitation syndrome can occur in individuals without clinical evidence of tachyarrhythmias or overt pre-excitation and as such may be more common than previously suspected.
Authors:
J Weiss; W R Cabeen; N K Roberts
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  14     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  1981  
Date Detail:
Created Date:  1981-11-22     Completed Date:  1981-11-22     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  185-90     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Arrhythmias, Cardiac / diagnosis,  physiopathology*
Atrioventricular Node / physiopathology*
Electric Conductivity
Electrocardiography
Heart Conduction System / physiopathology*
Humans
Male
Neural Pathways
Grant Support
ID/Acronym/Agency:
5T32 HL07412-02/HL/NHLBI NIH HHS

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


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