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Reciprocal tachycardias using accessory pathways with long conduction times

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Professor Hein J.J. Wellens

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Abstract

Three patients with reentrant tachycardia are described who had an accessory pathway with a very long conduction time that was incorporated in the tachycardia circuit. The accessory pathway was able to conduct in one direction only, in retrograde manner in two patients and in anterograde manner in the remaining patient. Evidence is presented that reveals that in the first two patients the accessory pathway was septally located, had completely bypassed the normal atrioventricular (A-V) conduction system, had properties of decremental conduction, and had an atrial exit close to the coronary sinus and a ventricular exit relatively far from the atrioventricular A-V ring. In the third patient, who manifested wide QRS complex during tachycardia, the ventricular end of the accessory pathway seemed to be located close to the right ventricular apex. The atrial end of the pathway could not be localized exactly.

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Authors and Affiliations

  1. Department of Cardiology, University of Limburg, Annadal Hospital, Maastricht, The Netherlands

    Jeronimo Farré, David Ross, Isaac Wiener, Frits W. Bär, Eduard J. Vanagt & Hein J. J. Wellens

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  1. Jeronimo Farré
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  2. David Ross
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  3. Isaac Wiener
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  4. Frits W. Bär
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  5. Eduard J. Vanagt
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  6. Hein J. J. Wellens
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Editor information

J. L. R. M. Smeets P. A. Doevendans M. E. Josephson Ch. Kirchhof M. A. Vos

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© 2000 Springer Science+Business Media Dordrecht

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Farré, J., Ross, D., Wiener, I., Bär, F.W., Vanagt, E.J., Wellens, H.J.J. (2000). Reciprocal tachycardias using accessory pathways with long conduction times. In: Smeets, J.L.R.M., Doevendans, P.A., Josephson, M.E., Kirchhof, C., Vos, M.A. (eds) Professor Hein J.J. Wellens. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4110-9_19

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  • DOI: https://doi.org/10.1007/978-94-011-4110-9_19

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5799-8

  • Online ISBN: 978-94-011-4110-9

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