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The cardiac conduction system is responsible for rhythmic myocardial stimulation for physiologic contraction of the heart.Aim of the work: To assess the value of MDCT in outlining anatomic landmarks and variants of conductive system, therefore provides crucial information used in clinical practice.Patients and methods: Thirty adult patients (18 males, 12 females) (mean age: 51.5 years) underwent elective retrospective ECG gated cardiac angiography using 128 MDCT.Results: MDCT enables accurate delineation of conduction system components such as SANa, AVNa, CT, BB, CTI, Koch triangle, LAI and PVs.Conclusion: MDCT has a fundamental role in demarcating potential arrhythmogenic structures before ablation procedures

Value of multi-detector computed tomography in delineation of the normal cardiac conduction system and related anatomic structures