Supernormal conduction in the accessory pathway of patients with overt or concealed ventricular pre-excitation

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Supernormal conduction in the accessory pathway of patients with overt or concealed ventricular pre-excitation.

It was recently shown that supernormal conduction in the diseased His-Purkinje system is more common than previously thought, and is always associated with prolongation of refractoriness. To assess whether supernormal conduction could also occur in the accessory pathway of patients with ventricular pre-excitation, 21 patients with manifestly prolonged refractoriness in the accessory pathway wer...

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Concealed and supernormal atrioventricular conduction.

THE FAILURE of a cardiac impulse to traverse the entire atrioventricular (AV) conducting system is called concealed conduction. Electrocardiographically, the effects of concealed conduction are reflected in the conduction and/or formation of subsequent beats.1 The concept of concealed conduction can be applied to explain (1) post-extrasystolic prolongation of the P-R interval, (2) the irregular...

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Multiple accessory pathways in patients with the pre-excitation syndrome.

We have studied 135 patients with the pre-excitation syndrome and have demonstrated evidence of multiple accessory pathways in 20 patients. Five patients had two distinct accessory atrioventricular (A-V) connections, associated with enhanced A-V node conduction in one patient. Twelve patients had a single accessory A-V connection associated with enhanced A-V conduction. In one of these there wa...

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Aberrant Ventricular Conduction Types and Concealed Conduction

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1987

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(87)80466-7