Interaction between accessory pathways resulting in inability to induce reciprocating tachycardia

R. P. Fleck, Peng-Sheng Chen, K. Boyce, S. Henjum, E. Brennan, G. K. Feld

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 44-year old male with Wolff-Parkinson-White syndrome presented with atrial fibrillation. The patient was found at the electrophysiological study to have two accessory pathways, one concealed and the other conducting exclusively in the anterograde direction. After radiofrequency catheter ablation of the anterograde conducting pathway, orthodromic reciprocating tachycardia, which previously could not be induced despite an aggressive protocol, was easily induced. Ablation of the concealed pathway resulted in termination of the tachycardia and suppression of inducibility. We propose that interaction between the two accessory pathways resulted in an inability to induce reciprocating tachycardia.

Original languageEnglish (US)
Pages (from-to)360-367
Number of pages8
JournalPACE - Pacing and Clinical Electrophysiology
Volume16
Issue number2
StatePublished - 1993
Externally publishedYes

Fingerprint

Reciprocating Tachycardia
Accessory Atrioventricular Bundle
Wolff-Parkinson-White Syndrome
Catheter Ablation
Tachycardia
Atrial Fibrillation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Interaction between accessory pathways resulting in inability to induce reciprocating tachycardia. / Fleck, R. P.; Chen, Peng-Sheng; Boyce, K.; Henjum, S.; Brennan, E.; Feld, G. K.

In: PACE - Pacing and Clinical Electrophysiology, Vol. 16, No. 2, 1993, p. 360-367.

Research output: Contribution to journalArticle

Fleck, R. P. ; Chen, Peng-Sheng ; Boyce, K. ; Henjum, S. ; Brennan, E. ; Feld, G. K. / Interaction between accessory pathways resulting in inability to induce reciprocating tachycardia. In: PACE - Pacing and Clinical Electrophysiology. 1993 ; Vol. 16, No. 2. pp. 360-367.
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