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Functional bundle branch block and orthodromic reciprocating tachycardia cycle length: do not bet on accessory pathway location.
- Source :
-
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [Europace] 2007 Oct; Vol. 9 (10), pp. 920-2. Date of Electronic Publication: 2007 Sep 05. - Publication Year :
- 2007
-
Abstract
- Aims: To show 2 examples in which the analysis of the effect of bundle branch block on orthodromic reciprocating tachycardia cycle length was misleading.<br />Methods and Results: We performed an electrophysiological study in two patients with orthodromic reciprocating tachycardia showing a transition from wide to narrow QRS during tachycardia. Our two cases of left bundle branch block during reciprocating tachycardia using infero-septal pathways show that ventricular to atrial conduction time prolongation may be larger than 30 ms and may be concealed by a shortening of atrial to ventricular conduction time. In the 2 cases, the atrial insertion of the accessory pathway could be successfully ablated from the right atria at the ostium of the coronary sinus.<br />Conclusions: The observation of the association between left bundle branch block and cycle length prolongation during reciprocating tachycardia may be associated with a successful ablation at the ostium of the coronary sinus.
- Subjects :
- Adolescent
Adult
Cardiology methods
Coronary Sinus pathology
Electrocardiography methods
Electrophysiology methods
Endocardium pathology
Heart Atria pathology
Humans
Male
Tachycardia, Reciprocating diagnosis
Time Factors
Bundle-Branch Block pathology
Tachycardia, Reciprocating physiopathology
Tachycardia, Reciprocating therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1099-5129
- Volume :
- 9
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 17804516
- Full Text :
- https://doi.org/10.1093/europace/eum183