Die Bedeutung der elektrophysiologischen Herzuntersuchung bei akzessorischer atrio-ventrikularer Verbindung. [Importance of electrophysiologic heart investigation in accessory atrio-ventricular pathway]

Details

Serval ID
serval:BIB_895875B85E2C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Die Bedeutung der elektrophysiologischen Herzuntersuchung bei akzessorischer atrio-ventrikularer Verbindung. [Importance of electrophysiologic heart investigation in accessory atrio-ventricular pathway]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Kappenberger  L., Gloor  H. O., Steinbrunn  W.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
11/1980
Volume
110
Number
45
Pages
1672-4
Notes
Comparative Study
English Abstract
Journal Article --- Old month value: Nov 8
Abstract
In 13 patients with Wolff-Parkinson-White syndrome (WPW) the findings from electrophysiologic studies have been correlated with the patients' histories. Four patients had had syncopes with tachycardia and at least one episode of cardiac resuscitation (group 1). Five patients with tachycardias had never had syncope (group 2). Group 1 and group 2 had anterograde conduction over an accessory atrio-ventricular pathway (AAVP) during investigation, while 4 patients had concealed pathways (group 3). Age, localization of AAVP, duration of tachycardia history and heart rate during regular tachycardia did not differ in the three groups. Atrial and anterograde effective refractory period of AAVP was shorter in group 1 (280 +/- 10 msec) than in group 2 (328 +/- 15 msec). Shortest RR-interval during atrial fibrillation was 230 +/- 30 msec in group 1 versus 295 +/- 10 msec in group 2. It is concluded that potentially dangerous tachyarrhythmias are due to short refractory period of AAVV. Patients with syncope and WPW-syndrome should undergo electrophysiologic investigation and be selected for controlled antiarrhythmic treatment or surgical dissection of AAVP.
Keywords
Adult Aged Atrial Fibrillation/diagnosis Electrophysiology Female Heart/physiopathology Heart Rate Humans Male Middle Aged Tachycardia/diagnosis Wolff-Parkinson-White Syndrome/*diagnosis/physiopathology
Pubmed
Web of science
Create date
15/02/2008 11:30
Last modification date
20/08/2019 14:48
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