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Localization of Accessory Pathways in the Wolff‐Parkinson‐White Syndrome
Author(s) -
SZABO TIBOR S.,
KLEIN GEORGE J.,
GUIRAUDON GERARD M.,
YEE RAYMOND,
SHARMA ARJUN D.
Publication year - 1989
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1989.tb01848.x
Subject(s) - medicine , white (mutation) , accessory pathway , physical medicine and rehabilitation , cardiology , atrial fibrillation , genetics , catheter ablation , gene , biology
SZABO, T.S., et al .: Localization of Accessory Pathways in the Wolff‐Parkinson‐White Syndrome Operative and ablative therapy in the Wolff‐Parkinson‐White syndrome requires accurate localization of accessory atrioventricular pathways. A reasonable first approximation to pathway location can be obtained by noninvasive techniques, the 12‐lead electrocardiogram being the most readily available of these. Accurate characterization of the number and anatomic localization of accessory pathways still requires invasive electrophysiological assessment. The most useful technique for accessory pathway localization remains endocardial atrial mapping of the tricuspid and mitral (via the coronary sinus) ring during atrioventricular reciprocating tachycardia and ventricular pacing. Other techniques provide important confirmatory evidence and may be the only guides to accessory pathway location in selected individuals.