Local slow potential preceding the surface QRS complex detected at the subvalvular mitral annulus in patients with a left-sided concealed accessory pathway. Incidence, electrophysiological characteristics and the possible mechanism, with demonstration of anterograde concealed conduction through the pathway

European Heart Journal

Volumn 20, Issue 24, 1999, Pages 1818-1825

  Miyauchi, Y ^a   Kobayashi, Y ^a   Ino, T ^a   Atarashi, H ^a  

^a NIPPON MEDICAL SCHOOL   (Japan)

Author keywords

Atrioventricular reciprocating tachycardia; Concealed accessory pathway; Concealed anterograde conduction; Pre QRS potential; Radiofrequency catheter ablation; Subvalvular mitral annulus

Indexed keywords

ADULT; ARTICLE; CATHETER ABLATION; CLINICAL ARTICLE; ELECTROGRAPHY; ELECTROPHYSIOLOGY; FEMALE; HEART CATHETER; HUMAN; INCIDENCE; MALE; MITRAL VALVE; PRIORITY JOURNAL; QRS COMPLEX; SINUS RHYTHM; WOLFF PARKINSON WHITE SYNDROME;

ATRIOVENTRICULAR NODE; CATHETER ABLATION; ELECTROCARDIOGRAPHY; FEMALE; HEART RATE; HEART VENTRICLES; HUMANS; MALE; MIDDLE AGED; MITRAL VALVE; TACHYCARDIA, ATRIOVENTRICULAR NODAL REENTRY; TACHYCARDIA, PAROXYSMAL; TREATMENT OUTCOME;

EID: 0032804114     PISSN: 0195668X     EISSN: None     Source Type: Journal    
DOI: 10.1053/euhj.1999.1688     Document Type: Article

References (17)

1. De La Fuente D, Sasyniuk B, Moe GK. Conduction through a narrow isthmus in isolated canine atrial tissue. A model of the W-P-W syndrome. Circulation 1971; 44: 803-9.
2. Kuck KH, Friday KJ, Kunze JP, Schlüter M, Lazzara R, Jackman WM. Sites of conduction block in accessory atrioventricular pathways. Basis for concealed accessory pathways. Circulation 1990; 82: 407-17.
3. Svinarich JT, Yan Tai D, Mickelson J, Keung EC, Sung RJ. Electrophysiologic demonstration of concealed conduction in anomalous atrioventricular bypass tracts. J Am Coll Cardiol 1985; 5: 898-903.
4. Suzuki F, Kawara T, Tanaka K et al. Electrophysiologic demonstration of anterograde concealed conduction in accessory atrioventricular pathways capable only of retrograde conduction. PACE 1989; 12: 591-603.
5. Katoh T, Kim EM, Ohara T et al. Non-invasive diagnosis of concealed WPW syndrome by detection of high frequency preceding micropotentials (abstract). Circulation 1994; 90 (Suppl): 1-436.
6. Kobayashi Y, Ino T, Ohmura K et al. Detection of local pre-potential preceding surface QRS complex in patients with concealed WPW syndrome. An evidence of concealed anterograde conduction over the accessory pathway? (abstract). PACE 1995; 18 (Suppl II): 897.
7. Shenasa M, Denker S, Mahmud R et al. Atrioventricular nodal conduction and refractoriness after intranodal collision from antegrade and retrograde impulses. Circulation 1983; 67: 651-60.
8. Prystowsky EN, Browne KF, Zipes DP. Intracardiac recording by catheter electrode of accessory pathway depolarization. J Am Coll Cardiol 1983; 1: 468-70.
9. Chen X, Borggrefe M, Shenasa M, Haverkamp W, Hindricks G, Breithardt G. Characteristics of local electrogram predicting successful transcatheter radiofrequency ablation of left-sided accessory pathways. J Am Coll Cardiol 1992; 20: 656-65.
10. O'Callaghan W, Colavita PG, Kay GN, Ellenbogen KA, Gilbert MR, German LD. Characterization of retrograde conduction by direct endocardial recording from an accessory atrioventricular pathways. J Am Coll Cardiol 1986; 7: 167-71.
11. Winters SL, Gomes JA. Intracardiac electrode catheter recordings of atrioventricular bypass tracts in Wolff-Parkinson-White syndrome: Techniques, electrophysiologic characteristics and demonstration of concealed and decremental propagation. J Am Coll Cardiol 1986; 7: 1392-403.
12. Jackman WM, Friday KJ, Yeung-Lai-Wah JA et al. New catheter technique for recording left free-wall accessory atrioventricular pathway activation: Identification of pathway fiber orientation. Circulation 1988; 78: 598-610.
13. Cappato R, Schlüter M, Mont L, Kuck K-H. Anatomic, electrical, and mechanical factors affecting bipolar endocardial electrograms. Impact on catheter ablation of manifest left free-wall accessory pathways. Circulation 1994; 90: 884-94.
14. Niebauer MJ, Daoud E, Goyal R et al. Assessment of pacing maneuvers used to validate anterograde accessory pathway potentials. J Cardiovasc Electrophysiol 1995; 6: 350-6.
15. Van Dam RT, Moore EN, Hoffman BF. Initiation and conduction of impulses in partially depolarized cardiac fibers. Am J Physiol 1963; 204: 1133-44.
16. Janse MJ, Kleber EG. Electrophysiological changes and ventricular arrhythmias in the early phase of regional myocardial ischemia. Circ Res 1981; 49: 1069-81.
17. Haïssaguerre M, Gaita F, Fischer B et al. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulation 1992; 85: 2162-75.