Atrioventricular accessory pathway with anterograde decremental conduction property. 2013

Satoshi Fujita, and Eitaro Fujii, and Shinya Sugiura, and Masaaki Ito
Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan.

We report a case of atrioventricular (AV) accessory pathway with anterograde decremental conduction property. The δ wave polarity suggested the presence of a right posteroseptal accessory AV pathway. During atrial pacing, Wenckebach-type AV block over the accessory pathway was observed with prolongation of the local AV conduction time without the change in QRS morphology. No retrograde ventriculoatrial conduction was observed. During mapping of the right midseptal area, mechanical conduction block at the level of the proximal input to the accessory pathway was induced repeatedly by catheter manipulation. Radiofrequency energy delivery eliminated the accessory pathway. In this case only the bump phenomenon was the best marker of successful ablation.

UI MeSH Term Description Entries
D002304 Cardiac Pacing, Artificial Regulation of the rate of contraction of the heart muscles by an artificial pacemaker. Pacing, Cardiac, Artificial,Artificial Cardiac Pacing,Artificial Cardiac Pacings,Cardiac Pacings, Artificial,Pacing, Artificial Cardiac,Pacings, Artificial Cardiac
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D005260 Female Females
D006329 Heart Conduction System An impulse-conducting system composed of modified cardiac muscle, having the power of spontaneous rhythmicity and conduction more highly developed than the rest of the heart. Conduction System, Heart,Conduction Systems, Heart,Heart Conduction Systems,System, Heart Conduction,Systems, Heart Conduction
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D058606 Accessory Atrioventricular Bundle Extra impulse-conducting tissue in the heart that creates abnormal impulse-conducting connections between HEART ATRIA and HEART VENTRICLES. Bundle of Kent,Mahaim Fiber,Accessory Atrioventricular Pathway,Accessory Atrioventricular Pathways,Accessory Conducting Pathway,Accessory Conducting Pathways,Atrio-Hisian Bypass Tract,Atriohisian Fibers,Atriohisian Tract,Concealed Accessory Pathway,Fasciculoventricular Accessory Pathway,Fasciculoventricular Pathway,James Fibers,Kent Bundle,Mahaim Fibers,Nodoventricular Accessory Pathway,Nodoventricular Pathway,Accessory Atrioventricular Bundles,Accessory Pathway, Concealed,Accessory Pathway, Fasciculoventricular,Accessory Pathway, Nodoventricular,Accessory Pathways, Concealed,Accessory Pathways, Fasciculoventricular,Accessory Pathways, Nodoventricular,Atrio Hisian Bypass Tract,Atrio-Hisian Bypass Tracts,Atriohisian Fiber,Atriohisian Tracts,Atrioventricular Bundle, Accessory,Atrioventricular Bundles, Accessory,Atrioventricular Pathway, Accessory,Atrioventricular Pathways, Accessory,Bundle, Accessory Atrioventricular,Bundle, Kent,Bundles, Accessory Atrioventricular,Bypass Tract, Atrio-Hisian,Bypass Tracts, Atrio-Hisian,Concealed Accessory Pathways,Conducting Pathway, Accessory,Conducting Pathways, Accessory,Fasciculoventricular Accessory Pathways,Fasciculoventricular Pathways,Fiber, Atriohisian,Fiber, Mahaim,Fibers, Atriohisian,Fibers, James,Fibers, Mahaim,Nodoventricular Accessory Pathways,Nodoventricular Pathways,Pathway, Accessory Atrioventricular,Pathway, Accessory Conducting,Pathway, Concealed Accessory,Pathway, Fasciculoventricular,Pathway, Fasciculoventricular Accessory,Pathway, Nodoventricular,Pathway, Nodoventricular Accessory,Pathways, Accessory Atrioventricular,Pathways, Accessory Conducting,Pathways, Concealed Accessory,Pathways, Fasciculoventricular,Pathways, Fasciculoventricular Accessory,Pathways, Nodoventricular,Pathways, Nodoventricular Accessory,Tract, Atrio-Hisian Bypass,Tract, Atriohisian,Tracts, Atrio-Hisian Bypass,Tracts, Atriohisian

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