Ventricular Preexcitation: Historical Overview

  • Howard B. Burchell


The advent of clinical electrocardiography and of detailed knowledge of the anatomy of the specialized conducting tissue in the heart were concurrent. The years 1903 to 1912 were particularly banner ones with many arrhythmias being defined, bundle branch function explored, and heart block explained. Indeed the first electrocardiographic abnormality attracting the attention of Einthoven [1] was a bundle branch block (in 1894), recorded by capillary electrometer — “a curve diverging from curves up till then recorded, which puzzled us.” The authorities who dominated the scene in the beginning twentieth century taught that the “sole” conducting pathway between the mammalian atrium and the ventricle was the bundle described by His, Jr., and further reported upon by Tawwara. The rigidity of the rcigning dogma would seem to have inhibited imaginative concepts of multiple pathways.


Accessory Pathway Versus Bundle Delta Wave Paroxysmal Tachycardia Accessory Connection 
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© Martinus Nijhoff Publishing 1986

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  • Howard B. Burchell

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