Document Detail


Wolff-Parkinson-White syndrome type B and left bundle-branch block: electrophysiologic and radionuclide study.
MedLine Citation:
PMID:  3967405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coinciding left bundle-branch block and Wolff-Parkinson-White syndrome type B, a very rare electrocardiographic occurrence, was found in a patient with dilated cardiomyopathy. Electrophysiologic study revealed eccentric retrograde atrial activation during ventricular pacing, suggesting right-sided accessory pathway. At programmed atrial pacing, effective refractory period of the accessory pathway was 310 ms; at shorter pacing coupling intervals, normal atrioventricular conduction with left bundle-branch block was seen. Left bundle-branch block was seen also with His bundle pacing. Radionuclide phase imaging demonstrated right ventricular phase advance and left ventricular phase delay; both right and left ventricular phase images revealed broad phase distribution histograms. Combined electrophysiologic and radionuclide investigations are useful to disclose complex conduction abnormalities and their mechanical correlates.
Authors:
P Rakovec; I Kranjec; J J Fettich; J Jakopin; V Fidler; J Turk
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  8     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1985 Jan 
Date Detail:
Created Date:  1985-03-20     Completed Date:  1985-03-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Bundle-Branch Block / complications*,  physiopathology,  radionuclide imaging
Electrocardiography
Electrophysiology
Female
Humans
Technetium / diagnostic use
Wolff-Parkinson-White Syndrome / classification,  complications*,  physiopathology,  radionuclide imaging
Chemical
Reg. No./Substance:
7440-26-8/Technetium

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


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