CASE REPORTS Arrival of Excitation at the Right Ventricular Apical Endocardium ill Wolff-Parkinson-White Syndrome

نویسندگان

  • AGUSTIN CASTELLANOS
  • S. AGHA
  • M. CELESTE VAGUEIRO
  • ROBERT J. MYERBURG
چکیده

His bundle and bipolar right ventricular apex (RVA) and right ventricular outflow tract (RVOT) catheter electrograms taken from sites 1 mm apart were recorded simultaneously with various surface leads in two patients with Wolff-Parkinson-White syndrome (WPW) type B. In "fusion" beats the presence of a normal H-RVA interval indicated that the apex of the right ventricle was activated by the impulse emerging from the right branch. On the other hand, a shorter-than-normal H-RVA interval implied that the RVA was depolarized by the activation front propagating from the pre-excited site. When this occurred, the V-RVA intervals gave a rough estimate of conduction time from pre-excited area to RVA. The values obtained (40 and 50

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تاریخ انتشار 2005