Skip to main content

Electrocardiographic Aspects of the Preexcitation Syndromes

  • Chapter
  • 85 Accesses

Abstract

The preexcitation syndromes are characterized by the existence of abnormal propagation of depolarization from the heart’s atrium to its ventricles which results in early excitation of the ventricles and can result in deformation of the QRS complex. This unusual excitatory sequence coined “anomalous atrioventricular excitation” [1] or “preexcitation” [2] interested early electrocardiographers and was reported in isolated cases or small series by Cohn and Fraser in 1913 [3], Wilson in 1915 [4], Wedd in 1924 [5], Bain and Hamilton in 1926 [6], Bach in 1929 [7], and Hamburger in 1929 [8]. In 1930, Wolff, Parkinson, and White described in 11 patients a syndrome with the ECG features of “bundle branch block with short PR interval in healthy young people prone to paroxysmal tachycardia” [9]. Subsequently, the WolffParkinson-White (WPW) syndrome eponym describing the most frequently observed of the preexcitation syndromes, has become established in the lexicon of cardiology.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rosenbaum FF, Hecht HH, Wilson FN, Johnston FD: The potential variations of the thorax and the esophagus in anomalous atrioventricular excitation (Wolff-ParkinsonWhite Syndrome). Am. Heart J 29: 281, 1945.

    Article  Google Scholar 

  2. Öhnell RF: Preexcitation, a cardiac abnormality. Acta Med. Scand. (Suppl) 152: 1, 1944.

    Google Scholar 

  3. Cohn AE, Fraser FR: Paroxysmal tachycardia and the effect of stimulation of the vagus nerves by pressure. Heart 5:93, 1913–1914.

    Google Scholar 

  4. Wilson FN: A case in which the vagus influenced the form of the ventricular complex of the electrocardiogram. Arch. Int. Med 16: 1008, 1915.

    Article  Google Scholar 

  5. Wedd AM: Paroxysmal tachycardia: With reference to nomotopic tachycardia and the role of the extrinsic cardiac nerves. Asch Int. Med. 27:571, 1921

    Google Scholar 

  6. Bain CWC, Hemilton CK: Electrocardiographic changes in rheumatic carditis. Lancet 1: 807, 1926.

    Article  Google Scholar 

  7. Bach F: Paroxysmal tachycardia of forty-eight years’ duration and right bundle branch block Proc. Roy. Soc. Med. 22:412, 1928–1929

    Google Scholar 

  8. Hamburger WW: Bundle branch block: Four cases of intraventricular block showing some interesting and unusual clinical features Med. Clin. North Am. 13:343, 1929

    Google Scholar 

  9. Wolff L, Parkinson J, White PD: Bundle branch block with short PR interval in healthy young people prone to paroxysmal tachycardia Am. Heart J. 5:685, 1930

    Google Scholar 

  10. Chung KY, Walsh TJ, Massie E: WolffParkinson-White syndrome. Am. Heart J. 69: 116, 1965.

    Article  PubMed  CAS  Google Scholar 

  11. Sears GA, Manning GW: Wolff-ParkinsonWhite pattern in routine electrocardiography. Can. Med. Assoc. J 87: 1213, 1962.

    PubMed  CAS  Google Scholar 

  12. Newman BJ, Donoso E, Friedberg CK: Arrhythmias in the Wolff-Parkinson-White syndrome Prog. Cardiovasc. Dis 9:147, 1966.

    Google Scholar 

  13. Berkman NL, Lamb LE: The Wolff-ParkinsonWhite electrocardiogram. A follow-up study of five to twenty-eight years. N. Engl. J. Med 278: 492, 1968.

    Article  PubMed  CAS  Google Scholar 

  14. Cobb FR, Blumenschein SD, Sealy WC, Boineau JP, Wagner GS, Wallace AG: Successful surgical interruption of the bundle of Kent in a patient with Wolff-Parkinson-White syndrome. Circulation 38: 1018, 1968.

    PubMed  CAS  Google Scholar 

  15. Durrer D, Schuilenberg RM, Wellens HJJ: Preexcitation revisited. Am. J. Cardiol 25: 690, 1970.

    Article  PubMed  CAS  Google Scholar 

  16. Castellanos A, Chapunoff E, Castillo C, Mayton O, Lemberg L: His bundle electrograms in two cases of Wolff-Parkinson-White (Preexcitation) syndrome. Circulation 41: 399, 1970.

    PubMed  Google Scholar 

  17. Segers M, Lequime J, Denolin H: L’activation ventriculaire precoce de certains coeurs hyperexcitables: Etude de l’onde delta de l’electrocardiogramme. Cardiologia 8: 113, 1944.

    Article  Google Scholar 

  18. Anderson RH, Becker AE, Breckenmacher C, Davies MJ, Rossi L: Ventricular preexcitation: A proposed nomenclature for its substrates. Eur. J. Cardiol 3: 27, 1975.

    PubMed  CAS  Google Scholar 

  19. Gallagher JJ: Variants of preexcitation: Update 1984, in Zipes DP, Jalife J (eds.): Cardiac Electrophysiology and Arrhythmias. Grune and Stratton, 1984, pp. 419–433.

    Google Scholar 

  20. Gallagher JJ, Pritchett ELC, Sealy WC, Kasell J, Wallace AG: The preexcitation syndromes Prog. Cardiovasc. Dis. 20:285, 1978

    Google Scholar 

  21. Scherf L, Neufeld HN: The Preexcitation Syndrome: Facts and Theories. New York, Yorke Medical Books, 1978.

    Google Scholar 

  22. Ferrer I: Preexcitation. Mount Kisco, New York, Futura Publishing, 1976.

    Google Scholar 

  23. Laham J: Actualités electtocardiographiques 1969: Le syndrome de Wolff=Parkinson-White. Paris, Librarie Malone SA, 1969.

    Google Scholar 

  24. Prystowsky EN, Miles WM, Heger JJ, Zipes DP: Preexcitation syndromes Med. Clin. North Am. 68:831, 1984

    Google Scholar 

  25. Kent AFS: Researches on the structure and function of the mammalian heart. J. Physiol 14: 222, 1983.

    Google Scholar 

  26. Paladino G: Contribuzione ali anatomia, istologia e fisiologia del cuore. Movimento Napoli 8: 428, 1896.

    Google Scholar 

  27. Davignon A, Rautaharju P, Boiselle E, Megelas M, Choquette A: Normal ECG standards for infants and children. Pediatr. Cardiol 1:123, 1979–1980.

    Google Scholar 

  28. Scherlag BJ, Lau SH, Helfant RH, Berkowitz WO, Stein E, Damato AW: Catheter technique for recording His bundle activity in man. Circulation 39: 13, 1969.

    PubMed  CAS  Google Scholar 

  29. Prystowsky EN, Browne KF, Zipes DP: Intracardiac recording by catheter electrode of accessory pathway depolarization J. Am. Coll. Cardiol. 1:468, 1983

    Google Scholar 

  30. Jackman W, Beck B, Aliot K, Friday K, Lazzara R: Basis for concealed accessory AV pathways. Circulation II 70: 337 (Abst), 1984.

    Google Scholar 

  31. Holzmann M, Shed D: Uber electrocardiogramme mit verkurzter Vorhof-KammerDistanz and positiven P-Zacken. Z. Klin. Med 121: 404, 1932.

    Google Scholar 

  32. Wolferth CC, Wood FC: Mechanism of production of short PR intervals and prolonged QRS complexes in patients with presumably damaged hearts: Hypothesis of an accessory pathway of auriculoventricular conduction (bundle of Kent). Am. Heart J. 8: 297, 1933.

    Article  Google Scholar 

  33. Butterworth JS, Poindexter CA: Short P-R interval associated with a prolonged QRS complex. A clinical and experimental study Arch. Intern. Med 69:437, 1942

    Google Scholar 

  34. Ohnell RF: Lecture in Svesha Foren. f. inv. med., October 4, 1941. (Printed in Swedish in Nord Medicine 14:1827, 1942.)

    Google Scholar 

  35. Wood FC, Wolferth CC, Geckeler GD: Histologic demonstration of accessory muscular connections between auricle and ventricle in a case of short P-R interval and prolonged QRS complex. Am. Heart J 25: 454, 1943.

    Article  Google Scholar 

  36. Boineau JP, Moore EN: Evidence for propagation of activation across an accessory atrioventricular connection in types A and B preexcitation. Circulation 41: 375–397, 1970.

    PubMed  CAS  Google Scholar 

  37. Boineau JP, Moore EN, Spear JF, Sealy WC: Basis of static and dynamic electrocardiographic variations in Wolff-Parkinson-White syn-drome. Anatomic and electrophysiologic observations in right and left ventricular preexcitation. Am. J. Cardiol 32: 32, 1973.

    Article  PubMed  CAS  Google Scholar 

  38. Durrer D, Roos JP: Epicardial excitation of the ventricles in a patient with Wolff-ParkinsonWhite syndrome (Type B). Circulation 35: 15, 1967.

    PubMed  CAS  Google Scholar 

  39. Burchell HB, Frye RL, Anderson MW, McGoon DC: Atrioventricular and ventriculoatrial excitation in Wolff-Parkinson-White syndrome (Type B). Circulation 36: 663, 1967.

    PubMed  CAS  Google Scholar 

  40. Spach MS, Barr RC, Lanning CF: Experimental basis for QRS and T wave potentials in the WPW syndrome. Circulation 42: 103, 1978.

    CAS  Google Scholar 

  41. Caracta AR, Damato AN, Gallagher JJ, Josephson ME, Varghese PJ, Lau SH, Westura EE: Electrophysiologic studies in the syndrome of short PR interval, normal QRS complex. Am. J. Cardiol 31: 245, 1973.

    Article  PubMed  CAS  Google Scholar 

  42. Mahaim I, Benatt A: Nouvelles recherches sur les connexions superieures de la branch gauche du faisceau de His Tawara avec la cloison interventriculaire. Cardiologia 1: 61, 1937.

    Article  Google Scholar 

  43. Lev M, Leffler WB, Langendorf R, Pick A: Anatomic findings in a case of ventricular preexcitation (WPW) terminating in complete atrioventricular block. Circulation 34: 718, 1966.

    PubMed  CAS  Google Scholar 

  44. Brechenmacher C, Courtadon M, Jourde M, Yermia JC, Cheynel J, Voegtlin R: Syndrome de Wolff-Parkinson-White par association de fibres atriohissienes et de fibres de Mahaim: Confrontation entre l’electrophysiologic et l’histologie. Arch. Mal Coeur 69: 1275–1283, 1976.

    PubMed  CAS  Google Scholar 

  45. Gallagher JJ, Smith WM, Kasell J, Benson DW Jr, Sterba R, Grant AO: Role of Mahaim fibers in cardiac arrhythmias in man. Circulation 64: 176, 1981.

    Article  PubMed  CAS  Google Scholar 

  46. Pick A, Katz LN: Disturbance of impulse formation and conduction in the preexcitation syndrome: Their bearing on its mechanism. Am. J. Med 19: 759, 1955.

    Article  PubMed  CAS  Google Scholar 

  47. Mahaim I, Winston MR: Recherches d’anatomie comparee et de pathologie experimantale sur les connexions hautes du faisceau de His Tawara. Cardiologia 5: 189, 1941.

    Article  Google Scholar 

  48. Mahaim I: Kent’s fibers and the A-V paraspecific conduction through the upper connections of the bundle of His-Tawara. Am. Heart J 33: 651, 1947.

    Article  PubMed  CAS  Google Scholar 

  49. Wellens HJJ: Electrical stimulation of the heart in the study and treatment of tachycardias. Baltimore, University Park Press, pp. 97–109, 1971.

    Google Scholar 

  50. Motte G, Brechenmacher C, Davy JM, Belhassen B: Association de fibers nodoventriculaires et atrioventriculaires a l’origine de tachycardies reciproques. Arch. Mal Coeur 73: 737, 1980.

    CAS  Google Scholar 

  51. Gallagher JJ, German LD, Broughton A, Guar nieri T, Trantham JL: Variants of the preexcitation syndrome, in Rosenbaum MB, Elizari MV (eds.): Frontiers of cardiac electrophysiology. The Hague, Martinus Nijhoff, pp. 724–772, 1982.

    Google Scholar 

  52. Bardy GH, Fedor JM, German LD, Packer DL, Gallagher JJ: Surface electrocardiographic clues suggesting the presence of a nodofascicular Mahaim fiber. JACC 3: 1161, 1984.

    CAS  Google Scholar 

  53. Clerc A, Levy R, Cristesco C: A propos du raccourcissement permanent du lespace P-R de l’electrocardiogramme sans deformation du complexe ventriculaire. Arch. Mal Coeur 31: 569, 1938.

    Google Scholar 

  54. Lown B, Ganong WF, Levine SA: The syndrome of short P-R interval, normal QRS complex and paroxysmal rapid heart action. Circulation 5: 693, 1952.

    PubMed  CAS  Google Scholar 

  55. Benditt DG, Pritchett ELC, Smith WM, Wallace AG, Gallagher JJ: Characteristics of atrioventricular conduction and the spectrum of arrhythmias in Lown-Ganong-Levine syndrome. Circulation 57: 454, 1978.

    PubMed  CAS  Google Scholar 

  56. Bisset JK, de Soyza N, Kane JJ, Murphy ML: Altered refractory periods in patients with short P-R intervals and normal QRS complex. Am. J. Cardiol 35: 487, 1975.

    Article  Google Scholar 

  57. Castellanos A, Jr, Castillo CA, Agha AS, Tessler M: His bundle electrograms in patients with short P-R intervals, narrow QRS complexes, and paroxysmal tachycardias. Circulation 43: 667, 1971.

    PubMed  Google Scholar 

  58. Iannone LA: Electrophysiology of atrial pacing in patients with short PR interval, normal QRS complex. Am. Heart J. 89: 74, 1975.

    Article  PubMed  CAS  Google Scholar 

  59. Brechenmacher C: Atrio-His bundle tracts. Br. Heart J. 37: 853, 1975.

    Article  PubMed  CAS  Google Scholar 

  60. Brechenmacher C, Laham J, Iris L, Gerbaux A, Lenegre J: Etude histologique des voies anormales de conduction dans un syndrome de Wolff-Parkinson-White et dans un syndrome de Lown-Ganong-Levine. Arch, Mal Coeur 67: 507, 1974.

    CAS  Google Scholar 

  61. Denes P, Wu D, Rosen KM: Demonstration of dual A-V pathways in a patient with LownGanong-Levine syndrome. Chest 65: 343, 1974.

    PubMed  CAS  Google Scholar 

  62. Akhtar M: Atrioventricular nodal reentrant tachycardia. Med. Clin. North Am 68: 819, 1984.

    PubMed  CAS  Google Scholar 

  63. Gallagher JJ, Sealy WC, Kasell J, Wallace AG: Multiple accessory pathways in patients with the preexcitation syndrome. Circulation 54: 571, 1976.

    PubMed  CAS  Google Scholar 

  64. Benditt DG, Epstein ML, Arentzen CE, Kriett JM, Klein GJ: Enhanced atrioventricular conduction in patients without preexcitation syndrome: Relation to heart rate in paroxysmal reciprocating tachycardia. Circulation 65: 1474, 1982.

    Article  PubMed  CAS  Google Scholar 

  65. Bauernfeind RA, Ayers BF, Wyndham CC, Dhingra RC, Surryn SP, Strasberg B, Rosen KM: Cycle length in atrioventricular nodal reentrant paroxysmal tachycardia with observations in the Lown-Ganong-Levine syndrome. Am. J. Cardiol 45: 1148, 1980.

    Article  PubMed  CAS  Google Scholar 

  66. Castellanos A, Vagueiro MC, Befeler B, Myer-burg RJ: Syndrome of short P-R, narrow QRS, and repetitive supraventricular tachyarrhythmias: The possible occurrence of the R-on-T phenomena and the limits of this syndrome. Eur. J. Cardiol 3: 337, 1975.

    Google Scholar 

  67. Castellanos A, Zaman L, Moleiro F, Aranda JM, Myerburg RJ: The Lown-Ganong-Levine syndrome. Pace 5: 715–740, 1982.

    Article  PubMed  CAS  Google Scholar 

  68. Przybylski J, Chiale PA, Halpern S, Nau GJ, Elizari MV, Rosenbaum MB: Unmasking of ventricular preexcitation by vagal stimulation or isoproterenol administration. Circulation 61: 1030, 1980.

    PubMed  CAS  Google Scholar 

  69. De la Fuente D, Sasyniuk B, Moe GK: Conduction through a narrow isthmus in isolated canine atrial tissue. A model of the WPW syndrome. Circulation 44: 803, 1971.

    PubMed  Google Scholar 

  70. Wallace AG, Sarnoff SJ: Effects of cardiac sympathetic nerve stimulation on conduction in the heart. Circ. Res 14: 86, 1964.

    PubMed  CAS  Google Scholar 

  71. Dhingra RC, Winslow E, Pouget JM, Rahimtoola SH, Rosen KM: The effects of isoproterenol on atrioventricular and intraventricular conduction. Am. J. Cardiol 32: 629, 1973.

    Article  PubMed  CAS  Google Scholar 

  72. Wellens HJJ, Brugada P, Roy D, Weiss J, Bar FW: Effects of isoproterenol on the antegrade refractory period of the accessory pathway in patients with the Wolff-Parkinson-White syndrome. Am. J. Cardiol 50: 180, 1982.

    Article  PubMed  CAS  Google Scholar 

  73. Giardina ACV, Ehlers KH, Engle MA: WolffParkinson-White syndrome in infants and children. A long-term follow-up study. Br. Heart J 34: 839 1972.

    Article  PubMed  CAS  Google Scholar 

  74. James TN: Cardiac conduction system: Fetal and postnatal development. Am. J. Cardiol 25: 213, 1970.

    Article  PubMed  CAS  Google Scholar 

  75. James TN: The Wolff-Parkinson-White syndrome: Evolving concepts of its pathogenesis. Prog. Cardiovasc. Dis 13: 159, 1970.

    Article  PubMed  CAS  Google Scholar 

  76. Benson DW, Jr, Dunnigan A, Schneider SP, Schiff J, Johnson W: Follow-up of infant paroxysmal atrial tachycardia: Transesophageal study. Circulation 70:1II-206 (Abstract), 1984.

    Google Scholar 

  77. Giraud G, Latour H, Puech P, Roujon J: Les troubles de rhythme du syndrome de WolffParkinson-White. Analyse electrocardiographique endocavitaire. Arch. Mal Coeur 49: 101, 1956.

    PubMed  CAS  Google Scholar 

  78. Lowe KG, Emslie-Smith D, Ward C, Watson H: Classification of ventricular preexcitation. Vectorcardiographic study. Br. Heart J. 37: 9, 1975.

    Article  PubMed  CAS  Google Scholar 

  79. Tonkin AM, Wagner GS, Gallagher JJ, Cope GD, Kasell J, Wallace AG: Initial forces of ventricular depolarization in the WolffParkinson-White syndrome. Analysis based upon localization of the accessory pathway by epicardial mapping. Circulation 52: 1030, 1975.

    PubMed  CAS  Google Scholar 

  80. Yamada K, Toyama J, Wada M, Sugiyama S, Sugenoga J, Toyoshima H, Mizuro Y, Sotohata I, Kobayashi T, Okajima M: Body surface isopotential mapping in Wolff-ParkinsonWhite syndrome: Noninvasive method to determine the localization of the accessory atrioventricular pathway. Am. Heart J 90: 721, 1975.

    Article  PubMed  CAS  Google Scholar 

  81. De Ambroggi L, Taccardi B, Macchi E: Body surface maps of heart potentials. Tentative localization of pre-excited areas in forty-two WolffParkinson-White patients. Circulation 54: 251, 1976.

    PubMed  Google Scholar 

  82. Benson DW, Jr, Sterba R, Gallagher JJ, Watson A, Spach MS: Localization of the site of ventricular preexcitation with body surface maps in patients with Wolff-Parkinson-White syndrome. Circulation 65: 1259, 1982.

    Article  PubMed  Google Scholar 

  83. Chung EK: Wolff-Parkinson-White syndrome - Current Views. Am. J. Med 62: 252, 1977.

    Article  PubMed  CAS  Google Scholar 

  84. Ruskin JN, Akhtar M, Damato AN, Ticzon AR, Lau Sh, Caracta AR: Abnormal Q waves in Wolff-Parkinson-White syndrome. Incidence and clinical significance. JAMA 235: 2727, 1976.

    CAS  Google Scholar 

  85. Gayes DC: False positive exercise test in the presence of Wolff-Parkinson-White syndrome. Am. Heart J 78: 13, 1969.

    Article  Google Scholar 

  86. Greenland P, Kauffman R, Weir EK: Profound exercise-induced ST depression in a patient with W-P-W syndrome and normal coronary arteriograms. Thorax 35: 559, 1980.

    Article  PubMed  CAS  Google Scholar 

  87. Wu D, Denes P, Amat-y-Leon F, Wyndham C, Ramesh D, Rosen K: Clinical, electrocardiographic, and electrophysiologic observations in patients with paroxysmal supraventricular tachycardia. Am. J. Cardiol 39: 264 (Abstract), 1977.

    Google Scholar 

  88. Coumel P, Attuel P: Reciprocating tachycardia in overt and latent preexcitation. Influence of functional bundle branch block on the rate of tachycardia. Eur. J. Cardiol 1: 423, 1974.

    PubMed  CAS  Google Scholar 

  89. Farshidi A, Josephson ME, Horowitz LN: Electrophysiologic characteristics of concealed bypass tracts: Clinical and electrocardiographic correlates. Am. J. Cardiol 41: 1052, 1978.

    Article  PubMed  CAS  Google Scholar 

  90. Green M, Heddle B, Dassen W, Wehr M, Abdollah H, Brugada P, Wellens HJJ: Value of QRS alternation in determining the site of origin of narrow QRS supraventricular tachycardia. Circulation 68: 368, 1983.

    Article  PubMed  CAS  Google Scholar 

  91. Sung RJ, Gelband H, Castellanos A, Aranda JM, Myerburg RJ: Clinical and electrophysiologic observations in patients with concealed accessory atrioventricular bypass tracts. Am. J. Cardiol 40: 839, 1977.

    Article  PubMed  CAS  Google Scholar 

  92. Wu D, Denes P, Amat-y-Leon F, Dhingra R, Wyndham CRC, Bauernfeind R, Latif P, Rosen KM: Clinical electrocardiographic and electrophysiologic observations in patients with paroxysmal supraventricular tachycardia. Am. J. Cardiol 41: 1045, 1978.

    Article  PubMed  CAS  Google Scholar 

  93. Benditt DG, Pritchett ELC, Smith WM, Gallagher JJ: Ventriculoatrial intervals: Diagnostic use in paroxysmal supraventricular tachycardia. Ann. Int. Med 91: 161, 1979.

    PubMed  CAS  Google Scholar 

  94. Benditt DG, Pritchett ELC, Gallagher JJ: Spectrum of regular tachycardias with wide QRS complexes in patients with accessory atrioventricular pathways. Am. J. Cardiol 42: 828, 1978.

    Article  PubMed  CAS  Google Scholar 

  95. Sung RJ, Styperek JL: Electrophysiologic identification of dual atrioventricular nodal pathway conduction in patients with reciprocating tachycardia using anomalous bypass tracts. Circulation 60: 1464, 1979.

    PubMed  CAS  Google Scholar 

  96. Dreifus LS, Haiat R, Watanabe Y, Arrioga J, Reitman N: Ventricular fibrillation: A possible mechanism of sudden death in patients with Wolff-Parkinson-White syndrome. Circulation 43: 520, 1971

    PubMed  CAS  Google Scholar 

  97. Sellers TD, Bashore TM, Gallagher JJ: Digitalis in the preexcitation syndrome: Analysis during atrial fibrillation. Circulation 56: 260, 1970.

    Google Scholar 

  98. Hammill SC, Pritchett ELC, Klein GJ, Smith WM, Gallagher JJ: Accessory atrio-ventricular pathways that conduct only in the antegrade direction. Circulation 62: 1335, 1980.

    PubMed  CAS  Google Scholar 

  99. Lloyd EA, Hauer RN, Zipes DP, Heger JJ, Prystowsky EN: Syncope and ventricular tachycardia in patients with ventricular preexcitation. Am. J. Cardiol 52: 79, 1983.

    Article  PubMed  CAS  Google Scholar 

  100. Smith WM, Broughton A, Reiter MJ, Benson DW Jr, Grant HO, Gallagher JJ: Bystander accessory pathway during AV node re-entrant tachycardia. Pace 6: 537, 1983.

    Article  PubMed  CAS  Google Scholar 

  101. Kerr CR, Benson DW, Gallagher JJ: Role of specialized conducting fibers in the genesis of “AV nodal” reentry tachycardia. Pace 6: 171, 1983.

    Article  PubMed  CAS  Google Scholar 

  102. Gallavardin L, Veil P: Tachycardies auriculaires en slaves. Arch. Mal Couer 20: 1, 1927.

    Google Scholar 

  103. Coumel P, Cabrol C, Fabiato A, Gourgon R, Slawa R: Tachycardie permanent par rhythm reciproque. 1. Preuves ou diagnostic par stimulation auriculaire et ventriculaire. Arch. Mal Couer 60: 1830, 1967.

    Google Scholar 

  104. Coumel P, Attuel P, Mugica J: Junctional reciprocating tachycardia. The permanent form, in Kulbertus H. (ed.). Reentrant Arrhythmias. Lancaster, England, MTP Press, 1977, pp. 170183.

    Google Scholar 

  105. Benson DW Jr, Gallagher JJ, Spach MS, Barr RC, Edwards SB, Oldham HN, Kasell J: Accessory atrioventricular pathway in an infant: Prediction of location with body surface maps and ablation with cryosurgery. J. Pediatr 96: 41, 1980.

    Article  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Martinus Nijhoff Publishing

About this chapter

Cite this chapter

Gornick, C.C., Benson, D.W. (1986). Electrocardiographic Aspects of the Preexcitation Syndromes. In: Benditt, D.G., Benson, D.W. (eds) Cardiac Preexcitation Syndromes. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-7526-5_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-7526-5_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-7528-9

  • Online ISBN: 978-1-4684-7526-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics