Electrophysiologic behaviour of a left sided accessory pathway with decremental (Mahaim-like) properties
نویسندگان
چکیده
The observation of a left sided accessory pathway with decremental properties is rare. We describe the behaviour of one of these pathways which was characterized by the presence of retrograde conduction (not previously reported) and thus inducibility of atrio-ventricular orthodromic reentrant tachycardia.
منابع مشابه
Looks Like VT But Isn't - Successful Ablation Of A Left Free Wall Accessory Pathway With Mahaim-like Properties
It was long believed that Mahaim pathways represented nodo-fascicular or nodo-ventricular connections. However, this misconception was challenged when patients underwent surgical or catheter ablation of the AV node but remained pre-excited. Electrophysiology (EP) studies showed these pathways to be right sided decrementally conducting atrio-fascicular accessory pathways with the atrium forming ...
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The atriofascicular accessory pathway (AP), known as the Mahaim pathway, is a rare form of pre-excitation, comprising less than 3% of all APs. Mahaim AP is characterized by decremental, anterograde-only conduction, and antidromic tachycardia with left bundle branch morphology. Prevalence of Mahaim AP in Ebstein's anomaly is significantly high. In addition, combination of Wolff-Parkinson-White (...
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