A Delta Wave in a Healthy Swiss Con One Does Not Always Have to Burn to Learn

作者:Kuehne Michael; Ammann Peter; Schaer Beat; Sticherling Christian; Osswald Stefan
来源:Pacing and Clinical Electrophysiology, 2010, 33(10): e93-e95.
DOI:10.1111/j.1540-8159.2010.02717.x

摘要

We present a case of a conscript who was referred for ablation of asymptomatic Wolff-Parkinson-White syndrome. However, the electrophysiologic study revealed the presence of an accessory pathway arising infranodally in the His-Purkinje system, and inserting into the nearby ventricle. The case emphasizes the limitations of the surface ECG and the importance of a thorough electrophysiologic study. Our patient required no specific therapy but correction of the diagnosis before being declared fit for military service. A second interesting finding not described before with this type of pathway was the occurrence of transient mechanical interruption of accessory pathway conduction. (PACE 2010; 33:e93-e95).

  • 出版日期2010-10