Diagnosis and management of the preexcitation syndromes

Prystowsky, Eric N.

doi:10.1016/0146-2806(88)90025-4

Cited by 39 publications

(8 citation statements)

References 183 publications

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“…This suggests proximity of the right atrial extrastimulus to the accessory pathway and that activation of the ventricle is via the accessory pathway. Figure 3 also shows that the atrial extrastimulus would arrive at the atrial septal region (i.e., His‐bundle atrial electrogram) when the atrium at this site is expected to be refractory 1 . This excludes any mechanism that involves anterograde conduction over the AV node, such as tachycardia using a nodoventricular pathway 2,3 .…”

Section: Discussionmentioning

confidence: 99%

A Wide QRS Tachycardia:

Petrellis¹,

Skanes²,

Krahn³

et al. 2004

Cardiovasc electrophysiol

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Section: Discussionmentioning

confidence: 99%

A Wide QRS Tachycardia:

Petrellis¹,

Skanes²,

Krahn³

et al. 2004

Cardiovasc electrophysiol

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“…The antidromic AVRT results in fully preexcited, wide QRS complexes. Orthodromic AVRT comprises approximately 95% of spontaneous and laboratory induced AVRTs (7,8). Antidromic AVRT is much less common and comprises 3-6% of spontaneous and laboratory-induced AVRTs (7,8).…”

Section: Discussionmentioning

confidence: 99%

Güneydoğu Anadolu Bölgesindeki Atriyoventriküler Reentran Taşikardilerdeki Aksesuar Yolların Dağılımı

Aydın¹

2015

Konuralp Tıp Dergisi

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Objective: We aimed to evaluate distribution of accessory pathway (AP) in atrioventricular reentrant tachycardia (AVRT) in southeast Anatolian region of Turkey. Methods: The study was a retrospective cross-sectional design. Consecutive patients who underwent catheter ablation of AVRT between June 2012 and July 2014 were included in the study. All patients were taken to the electrophysiology laboratory in the nonsedated state and underwent an initial diagnostic study using three diagnostic catheters. The one of them was placed in coronary sinus. In those patients, in whom the AP was identified, ablation therapy was carried out using radiofrequency energy. We decided distribution of AP on fluoroscopy. Fluoroscopic images are obtained in and the left anterior oblique orientation. Results:The study population consisted of 64 AVRT patients (63% female; mean age 34±14). Among AVRT 20(31%) patients had concealed AVRT, 44 (69%) patients had Wolf Parkinson White syndrome. Distribution of AP was 59% at the left free wall, 34% at the posteroseptum, 6% at the right free wall, and 3% at the anteroseptum. The locations of APs were compared. There was no any statistically significant among groups. Conclusion: Distribution of AP location was in accordance with literature. The other characteristic of AVRT were similar with the current data.

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“…Prior to surgery the patient undergoes complete electrophysiologic evaluation, including endocardial mapping to determine the site of the pathway and its involvement in tachycardia (3). The importance of a thorough preoperative evaluation cannot be overstressed since one or more accessory pathways may not conduct at the time of surgery.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Antitachycardia pacemakers can also be used in selected patients to treat SVT (3). This review focuses on surgical and intracardiac catheter ablation therapy for SVT, since antitachycardia pacemakers in our experi ence have only a limited role in these patients.…”

Section: Introductionmentioning

confidence: 99%

Nonpharmacologic Treatment of the Wolff-Parkinson-White Syndrome and other Supraventricular Tachycardias

Prystowsky

Packer²,

Schier

et al. 1990

Annu. Rev. Med.

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Nonpharmacologic treatment using surgery or intracardiac catheter ablation can be used for several forms of supraventricular tachycardia. Surgery is highly successful in preventing recurrent tachyarrhythmias in patients with the Wolff-Parkinson-White syndrome and can be recommended as first-line treatment in several situations. Catheter ablation of the atrioventricular conduction system combined with an implanted ventricular pacemaker can offer substantial relief to selected patients with drug-refractory atrial fibrillation. Technical advances in catheter ablation will undoubtedly lead to more widespread use of this form of therapy in supraventricular tachycardia.

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Diagnosis and management of the preexcitation syndromes

Cited by 39 publications

References 183 publications

A Wide QRS Tachycardia:

A Wide QRS Tachycardia:

Güneydoğu Anadolu Bölgesindeki Atriyoventriküler Reentran Taşikardilerdeki Aksesuar Yolların Dağılımı

Nonpharmacologic Treatment of the Wolff-Parkinson-White Syndrome and other Supraventricular Tachycardias

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