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Cardiac Preexcitation Syndromes pp 141–150Cite as

Role of His-Purkinje System in the Initiation of Orthodromic Tachycardia in Wolff-Parkinson-White Syndrome

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Abstract

With the introduction of intracardiac recording techniques and programmed electrical stimulation, the tachyarrhythmias in Wolff-ParkinsonWhite (WPW) have been extensively studied [1–10]. The most common arrhythmia in this patient population is the reciprocating tachycardia utilizing the normal pathway in one direction and the accessory pathway in the other. Less commonly, the accessory pathway may constitute both the anterograde and retrograde limbs of the reentry circuit [8,10]. Depending upon the site and method of stimulation, presence of multiple accessory pathways, as well as the electrophysiologic properties of the accessory and normal pathways in both directions, reciprocating tachycardia of either the orthodromic or antidromic variety can be initiated. With the usual pacing techniques (incremental and extrastimulus method) from the atrial and ventricular sites the orthodromic reciprocating tachycardia is induced more frequently and consistently than the antidromic type [2]. Since orthodromic reciprocating tachycardia is also the more common clinical arrhythmia and its electrophysiology is more clearly understood, it will be the primary subject of this review [2].

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Authors
  1. Masood Akhtar
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  2. Michael H. Lehmann
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  3. Stephen Denker
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  4. Rehan Mahmud
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Editor information

Editors and Affiliations

  1. Section of Cardiology, University of Minnesota Medical School, Mayo Memorial Building, Box 341, 55455, Minneapolis, Minnesota, USA

    David G. Benditt M.D. (Associate Professor of Medicine) (Associate Professor of Medicine)

  2. Pediatric Cardiology, University of Minnesota Medical School, Mayo Memorial Building, Box 94, 55455, Minneapolis, Minnesota, USA

    D. Woodrow Benson Jr. M.D., Ph.D. (Professor of Pediatrics) (Professor of Pediatrics)

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© 1986 Martinus Nijhoff Publishing

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Akhtar, M., Lehmann, M.H., Denker, S., Mahmud, R. (1986). Role of His-Purkinje System in the Initiation of Orthodromic Tachycardia in Wolff-Parkinson-White Syndrome. In: Benditt, D.G., Benson, D.W. (eds) Cardiac Preexcitation Syndromes. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-7526-5_7

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  • DOI: https://doi.org/10.1007/978-1-4684-7526-5_7

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-7528-9

  • Online ISBN: 978-1-4684-7526-5

  • eBook Packages: Springer Book Archive

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