Abstract
A variety of tachyarrhythmias may occur in patients with preexcitation syndromes. These tachyarrhythmias are usually associated with symptoms, ranging in severity from mild to life-threatening. Therefore, many patients with preexcitation syndromes and tachyarrhythmias will require treatment. The most appropriate form of therapy for these patients will depend upon the particular mechanism of the tachyarrhythmia. Although invasive electrophysiologic testing is often required to establish the mechanism of a tachyarrhythmia, in many patients the electrocardiogram may provide important clues to the type of tachycardia [1,2]. This chapter reviews the spectrum of tachyarrhythmias in preexcitation syndromes and highlights the value and limitations of the electrocardiogram in the diagnosis of these tachyarrhythmias.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Wellens HJJ, Brugada P, Heddle WF: Value of the 12 lead electrocardiogram in diagnosing type and mechanism of a tachycardia: A survey among 22 cardiologists. J. Am. Coll. Cardiol. 4: 176, 1984.
Bar FW, Brugada P, Dassen WRM, Wellens HJJ: Differential diagnosis of tachycardia with narrow QRS complex (shorter than 0.12 second). Am. J. Cardiol. 54: 555, 1984.
Civera RC, Ferrero JA, Sanjuan R, Insa L, Rodriguez M, Segui J, Merino VL, Llavador J: Retrograde P wave polarity in reciprocating tachycardia utilizing lateral bypass tracts. Eur. Heart J. 1: 137, 1980.
Kerr CR, Gallagher JJ, German LD: Changes in ventriculoatrial intervals with bundle branch block aberration during reciprocating tachycardia in patients with accessory atrioventricular pathways. Circulation 66: 196, 1982.
Farshidi A, Josephson ME, Horowitz LN: Electrophysiologic characteristics of concealed bypass tracts: Clinical and electrocardiographic correlates. Am. J. Cardiol. 41: 1052, 1978.
Smith WM, Gallagher JJ, Kerr CR, Sealy WC, 19. Kasell JH, Benson DW Jr, Reiter MJ, Sterba R, Grant AO: The electrophysiologic basis and management of symptomatic recurrent tachycardia in patients with Ebstein’s anomaly of the tricuspid valve. Am. J. Cardiol. 49: 1223, 1982.
Green M, Heddle B, Dassen W, Wehr M, Abdol- lah H, Brugada P, Wellens HJJ: Value of QRS 20. alternation in determining the site of origin of narrow QRS supraventricular tachycardia. Circulation 68: 368, 1983.
Sung RJ, Styperek JL: Electrophysiologic iden- tification of dual atrioventricular nodal pathway 21. conduction in patients with reciprocating tachycardia using anomalous bypass tracts. Circulation 60: 1464, 1979.
Guarnieri T, Sealy WC, Kasell JH, German LD, Gallagher JJ: The nonpharmacologic manage- 22. ment of the permanent form of junctional reciprocating tachycardia. Circulation 69: 269, 1984.
Critelli G, Gallagher JJ, Monda V, Coltorti F, Scherillo M, Rossi L: 1984. Anatomic and elec- trophysiologic substrate of the permanent form 23. of junctional reciprocating tachycardia. J. Am. Coll. Cardiol. 4: 601, 1984.
Benditt DG, Pritchett ELC, Gallagher JJ: Spec- 24. trum of regular tachycardias with wide QRS complexes in patients with accessory atrioventricular pathways. Am. J. Cardiol. 42: 828, 1978.
Cinca J, Valle V, Gutierrez L, Figueras J, Rius J: 25. Reciprocating tachycardia using bilateral anomalous pathways: Electrophysiologic and clinical implications. Circulation 62: 657, 1980.
Heddle WF, Brugada P, Wellens HJJ: Multiple 26. circus movement tachycardias with multiple accessory pathways. J. Am. Coll. Cardiol. 4: 168, 1980.
Bardy GH, Packer DL, German LD, Gallagher 27. JJ: Preexcited reciprocating tachycardia in patients with Wolff-Parkinson-White syndrome: incidence and mechanisms. Circulation 70: 377, 1984. 28.
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. 29.
Kuck KH, Brugada P, Wellens HJJ: Observations on the antidromic type of circus movement tachycardia in the Wolff-Parkinson-White syndrome. J. Am. Coll. Cardiol. 2: 1003, 1983. 30.
Campbell RWF, Smith RA, Gallagher JJ, Pritchett ELC, Wallace AG: Atrial fibrillation in the preexcitation syndrome. Am. J. Cardiol. 40: 514, 1977. 31.
Bauernfeind RA, Wyndham CR, Swiryn SP, Palileo EV, Strasberg B, Lam W, Westveer D, Rosen KM: Paroxysmal atrial fibrillation in the Wolff-Parkinson-White Syndrome. Am. J. Cardiol. 47: 562, 1981.
Cosio FG, Benson DW, Jr, Anderson RW, Hession WT, Pritzker MR, Kriett JM, Benditt DG: Onset of atrial fibrillation during antidromic tachycardia: Association with sudden cardiac arrest and ventricular fibrillation in a patient with Wolff-Parkinson-White syndrome. Am. J. Cardiol. 50: 353, 1982.
Wellens HJ, Durrer D: Wolff-Parkinson-White Syndrome and atrial fibrillation. Relation between refractory period of accessory pathway and ventricular rate during atrial fibrillation. Am. J. Cardiol. 34: 777, 1974.
Wellens HJJ, Brugada P, Roy D, Weiss J, Bar FW: Effect of isoproterenol on the anterograde refractory period of the accessory pathway in patients with the Wolff-Parkinson-White syndrome. Am. J. Cardiol. 50: 180, 1982.
German LD, Gallagher JJ Broughton A, Guarnieri T, Trantham JL: Effects of exercise and isoproterenol during atrial fibrillation in patients with Wolff-Parkinson-White syndrome. Am. J. Cardiol. 51: 1203, 1983.
Sellers TD, Bashore TM, Gallagher JJ: Digitalis in the pre-excitation syndrome. Analysis during atrial fibrillation. Circulation 56: 260, 1977.
Klein GJ, Bashore TM, Sellers TD, Pritchett ELC, Smith WM, Gallagher JJ: Ventricular fibrillation in the Wolff-Parkinson-White syndrome. N. Engl. J. Med. 301: 1080, 1979.
Smith. WM, Broughton A, Reiter MJ, Benson DW Jr, Grant AO, Gallagher JJ: Bystander accessory pathway during AV node re-entrant tachycardia. PACE 6: 537, 1983.
Gallagher JJ, Smith WM, Kasell JH, Benson DW Jr, Sterba R, Grant AO: Role of Mahaim fibers in cardiac arrhythmias in man. Circulation 64: 176, 1981.
Morady F, Scheinman MM, Gonzalez R, Hess D: His-ventricular dissociation in a patient with reciprocating tachycardia and a nodoventricular bypass tract. Circulation 64: 839, 1981.
Reiter MJ, Smith WM, Gallagher JJ: Clinical spectrum of ventricular tachycardia with left bundle branch morphology. Am. J. Cardiol. 51: 113, 1983.
Bardy GH, Fedor JM, German LD, Packer DL, Gallagher JJ: Surface electrocardiographic clues suggesting presence of a nodofascicular Mahaim fiber. J. Am. Coll. Cardiol. 3: 1161, 1984.
Gallagher JJ, Sealy WC, Kasell J, Wallace AG: Multiple accessory pathways in patients with pre-excitation syndrome. Circulation 54: 571, 1976.
Benditt DG, Pritchett ELC, Smith WM, Wallace AG, Gallagher JJ: Characteristics of atrioventricular conduction and the spectrum of arrhythmias in Lown-Ganong-Levine syndrome. Cir-culation 57: 454, 1978.
Holmes DR Jr, Hartzler GO, Maloney JD: Concealed retrograde bypass tracts and enhanced atrioventricular nodal conduction. An unusualsubset of patients with refractory paroxysmal subset of patients with refractory paroxys malsupraventricular tachycardia. Am. J. Cardiol. 45: 1053, 1980.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Martinus Nijhoff Publishing
About this chapter
Cite this chapter
Morady, F. (1986). The Spectrum of Tachyarrhythmias in 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_6
Download citation
DOI: https://doi.org/10.1007/978-1-4684-7526-5_6
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-7528-9
Online ISBN: 978-1-4684-7526-5
eBook Packages: Springer Book Archive