A total of 24 patients with heart block revealed by scalar electrocardiography was studied using the His bundle electrogram. Four groups of disturbed conduction are described which include various types of heart block, partial and complete, at different sites, single and multiple, in the specialized conducting system. These are (i) intra-atrial block with delayed or blocked internodal conductio...

1 wo previous reports have demonstrated dual AV nodal pathways as the causative mechanism of spontaneous SVT termination in the WPW syndrome. Westveer et al’ reported a patient with WPW and non-sustained antidromic SVT, where SVT termination was related to retrograde dual AV nodal pathways. Retrograde conduction of the SVT occurred over the slow retrograde AV nodal pathway with concealment into...

introduction: recent evidence has indicated that statins can reduce the incidence of both supraventricular and ventricular arrhythmias with various mechanisms. the primary goal of the present study was to determine direct protective role of simvastatin in modifying concealed conduction and the zone of concealment in a simulated model of atrial fibrillation (af) in an isolated atrioventricular (...

We report a 26-year-old woman with frequent episodes of palpitation and dizziness. Resting electrocardiography showed no evidence of ventricular preexcitation. During electrophysiologic study, a concealed right posteroseptal accessory pathway was detected and orthodromic atrioventricular reentrant tachycardia incorporating this pathway as a retrograde limb was reproducibly induced. After succes...

The purpose of this study was to determine the incidence and characteristics of delayed effects on conduction through accessory atrioventricular (AV) connections after apparently successful attempts at radiofrequency catheter ablation. Among 450 patients who had 471 accessory AV connections, the ablation procedure was unsuccessful in 26 patients (6%), as defined by persistent conduction through...