Antegrade or Retrograde Accessory Pathway Conduction: Who Dies First?

Autor: Claudio Hadid, MD, Darío Di Toro, MD, Sebatian Gallino, MD, Carlos Labadet, MD
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 12, Iss 3, Pp 133-135 (2012)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/S0972-6292(16)30505-8
Popis: A 36 year-old man with Wolff Parkinson White syndrome due to a left-sided accessory pathway (AP) was referred for catheter ablation. Whether abolition of antegrade and retrograde AP conduction during ablation therapy occurs simultaneously, is unclear. At the ablation procedure, radiofrequency delivery resulted in loss of preexcitation followed by a short run of orthodromic tachycardia with eccentric atrial activation, demonstrating persistence of retrograde conduction over the AP after abolition of its antegrade conduction. During continued radiofrequency delivery at the same position, the fifth non-preexcitated beat failed to conduct retrogradely and the tachycardia ended. In this case, antegrade AP conduction was abolished earlier than retrograde conduction.
Databáze: Directory of Open Access Journals