Hypothesis Testing as an Approach to the Analysis of Complex Tachycardias—an Illustrative Case of a Preexcitation Variant
Identifieur interne : 004779 ( Main/Curation ); précédent : 004778; suivant : 004780Hypothesis Testing as an Approach to the Analysis of Complex Tachycardias—an Illustrative Case of a Preexcitation Variant
Auteurs : Wee Siong Teo [Canada] ; Raymond Yee [Canada] ; George J. Klein [Canada] ; Gerard M. Guiraudon [Canada] ; James W. Leitch [Canada]Source :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 1991-10.
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Abstract
The correct elucidation of the electrophysiologirul substrule and mechanism (s) responsible for a complex arrhythmia requires a systematic approach to the analysis of the electrophysiological data. One approach calls for the formulation of a set of hypotheses that could explain the data obtained during the study. The hypotheses are then tested for compatibility with phenomena observed and the one that agrees with the majority of the findings would represent the most tenable explanation. We present the case of a young girl with a wide QRS complex tachycardia and a history of ventricular preexcitation that illustrates this approach. The complexities were resolved only after intraoperative analysis and surgical ablation of a right‐sided accessory pathiway with decremental properties, and provides further insight into our understanding of the nodoventricular Mahaim fiber.
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DOI: 10.1111/j.1540-8159.1991.tb04072.x
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<front><div type="abstract" xml:lang="en">The correct elucidation of the electrophysiologirul substrule and mechanism (s) responsible for a complex arrhythmia requires a systematic approach to the analysis of the electrophysiological data. One approach calls for the formulation of a set of hypotheses that could explain the data obtained during the study. The hypotheses are then tested for compatibility with phenomena observed and the one that agrees with the majority of the findings would represent the most tenable explanation. We present the case of a young girl with a wide QRS complex tachycardia and a history of ventricular preexcitation that illustrates this approach. The complexities were resolved only after intraoperative analysis and surgical ablation of a right‐sided accessory pathiway with decremental properties, and provides further insight into our understanding of the nodoventricular Mahaim fiber.</div>
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