Preexcitation syndromes. Mechanisms and management

E. N. Prystowsky, W. M. Miles, J. J. Heger, D. P. Zipes

Research output: Contribution to journalArticle

24 Scopus citations


Ventricular preexcitation occurs when, in relation to atrial events, some or all of the ventricular muscle is activated earlier by the atrial impulse than would be expected if conduction of the impulse activated the ventricles by way of the normal atrioventricular (AV) conduction system. Hundreds of articles have been written about the preexcitation syndromes, and much has been learned about the anatomy of anomalous pathways and mechanisms and therapy of tachycardia. The purpose of this article is to review the pathophysiology of the variants of preexcitation and to discuss the therapeutic approach to patients who have tachyarrhythmias.

Original languageEnglish (US)
Pages (from-to)831-893
Number of pages63
JournalMedical Clinics of North America
Issue number4
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Medicine(all)

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    Prystowsky, E. N., Miles, W. M., Heger, J. J., & Zipes, D. P. (1984). Preexcitation syndromes. Mechanisms and management. Medical Clinics of North America, 68(4), 831-893.