Localization of accessory pathways in the Wolff-Parkinson-White syndrome.

Pacing and Clinical Electrophysiology : PACE
T S SzaboA D Sharma

Abstract

Operative and ablative therapy in the Wolff-Parkinson-White syndrome requires accurate localization of accessory atrioventricular pathways. A reasonable first approximation to pathway location can be obtained by noninvasive techniques, the 12-lead electrocardiogram being the most readily available of these. Accurate characterization of the number and anatomic localization of accessory pathways still requires invasive electrophysiological assessment. The most useful technique for accessory pathway localization remains endocardial atrial mapping of the tricuspid and mitral (via the coronary sinus) ring during atrioventricular reciprocating tachycardia and ventricular pacing. Other techniques provide important confirmatory evidence and may be the only guides to accessory pathway location in selected individuals.

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Citations

Aug 1, 1991·Journal of the American College of Cardiology·W S TeoJ W Leitch
Jul 7, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Lluís Mont, Josep Brugada
Dec 1, 1992·The American Journal of Cardiology·L T WestonD C Wortham
Jan 1, 1997·Pacing and Clinical Electrophysiology : PACE·H LiJ Windle
Oct 1, 1993·Pacing and Clinical Electrophysiology : PACE·F SuzukiM H Lehmann

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