Wolff-Parkinson-White VCG patterns that mimic other cardiac pathologies: A correlative study with the preexcitation pathway localization
Identifieur interne : 004E44 ( Main/Exploration ); précédent : 004E43; suivant : 004E45Wolff-Parkinson-White VCG patterns that mimic other cardiac pathologies: A correlative study with the preexcitation pathway localization
Auteurs : Conrado Giorgi [Canada] ; Alexandre Ackaoui [Canada] ; Réginald Nadeau [Canada] ; Pierre Savard [Canada] ; Robert Primeau [Canada] ; Pierre Pagé [Canada]Source :
- American Heart Journal [ 0002-8703 ] ; 1986.
Abstract
Abstract: Vectorcardiograms (VCGs) of 44 patients with a Wolff-Parkinson-White (WPW) syndrome have been analyzed with the aim to correlate the QRS loop patterns with specific preexcitation sites. The VCG QRS loops were analyzed to determine whether conduction abnormalities and myocardial infarction (MI)-like patterns observed in the WPW syndrome could be related to specific preexcitation sites identified by surgery as well as by body surface potential mapping (BSPM). Left bundle branch block pattern was observed with anteroseptal (AS) preexcitation, anterior MI pattern was seen with lateral right ventricle (LRV) preexcitation, left anterior fascicular block was observed with posterior right ventricle (PRV) preexcitation, inferoposterior and strictly posterior MI pattern was found with posteroseptal (PS) and posterior left ventricle (PLV) preexcitation, right bundle branch block was seen in lateral left ventricle (LLV) preexcitation, and right bundle branch block was observed with left posterior fascicular block in anterior left ventricle (ALV) preexcitation. These VCG criteria seem to identify accurately the preexcitation sites as observed by delta wave BSPM and at surgery investigations. Consequently, they could be useful in localizing the preexcitation site in cases of ambiguous delta vector orientation.
Url:
DOI: 10.1016/0002-8703(86)90639-3
Affiliations:
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Nadeau, Research Center, Sacré-Coeur Hospital, 5400 Gouin Blvd. West, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Research Center, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Cardiology Division, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation><affiliation></affiliation></author><author><name sortKey="Savard, Pierre" sort="Savard, Pierre" uniqKey="Savard P" first="Pierre" last="Savard">Pierre Savard</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Research Center, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Cardiology Division, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation><affiliation></affiliation></author><author><name sortKey="Primeau, Robert" sort="Primeau, Robert" uniqKey="Primeau R" first="Robert" last="Primeau">Robert Primeau</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Research Center, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Cardiology Division, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation></author><author><name sortKey="Page, Pierre" sort="Page, Pierre" uniqKey="Page P" first="Pierre" last="Pagé">Pierre Pagé</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Research Center, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Cardiology Division, Hoˆpital du Sacré-Coeur, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">American Heart Journal</title><title level="j" type="abbrev">YMHJ</title><idno type="ISSN">0002-8703</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1986">1986</date><biblScope unit="volume">111</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="891">891</biblScope><biblScope unit="page" to="902">902</biblScope></imprint><idno type="ISSN">0002-8703</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-8703</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Vectorcardiograms (VCGs) of 44 patients with a Wolff-Parkinson-White (WPW) syndrome have been analyzed with the aim to correlate the QRS loop patterns with specific preexcitation sites. The VCG QRS loops were analyzed to determine whether conduction abnormalities and myocardial infarction (MI)-like patterns observed in the WPW syndrome could be related to specific preexcitation sites identified by surgery as well as by body surface potential mapping (BSPM). Left bundle branch block pattern was observed with anteroseptal (AS) preexcitation, anterior MI pattern was seen with lateral right ventricle (LRV) preexcitation, left anterior fascicular block was observed with posterior right ventricle (PRV) preexcitation, inferoposterior and strictly posterior MI pattern was found with posteroseptal (PS) and posterior left ventricle (PLV) preexcitation, right bundle branch block was seen in lateral left ventricle (LLV) preexcitation, and right bundle branch block was observed with left posterior fascicular block in anterior left ventricle (ALV) preexcitation. These VCG criteria seem to identify accurately the preexcitation sites as observed by delta wave BSPM and at surgery investigations. Consequently, they could be useful in localizing the preexcitation site in cases of ambiguous delta vector orientation.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Giorgi, Conrado" sort="Giorgi, Conrado" uniqKey="Giorgi C" first="Conrado" last="Giorgi">Conrado Giorgi</name></noRegion><name sortKey="Ackaoui, Alexandre" sort="Ackaoui, Alexandre" uniqKey="Ackaoui A" first="Alexandre" last="Ackaoui">Alexandre Ackaoui</name><name sortKey="Ackaoui, Alexandre" sort="Ackaoui, Alexandre" uniqKey="Ackaoui A" first="Alexandre" last="Ackaoui">Alexandre Ackaoui</name><name sortKey="Giorgi, Conrado" sort="Giorgi, Conrado" uniqKey="Giorgi C" first="Conrado" last="Giorgi">Conrado Giorgi</name><name sortKey="Nadeau, Reginald" sort="Nadeau, Reginald" uniqKey="Nadeau R" first="Réginald" last="Nadeau">Réginald Nadeau</name><name sortKey="Nadeau, Reginald" sort="Nadeau, Reginald" uniqKey="Nadeau R" first="Réginald" last="Nadeau">Réginald Nadeau</name><name sortKey="Nadeau, Reginald" sort="Nadeau, Reginald" uniqKey="Nadeau R" first="Réginald" last="Nadeau">Réginald Nadeau</name><name sortKey="Page, Pierre" sort="Page, Pierre" uniqKey="Page P" first="Pierre" last="Pagé">Pierre Pagé</name><name sortKey="Page, Pierre" sort="Page, Pierre" uniqKey="Page P" first="Pierre" last="Pagé">Pierre Pagé</name><name sortKey="Primeau, Robert" sort="Primeau, Robert" uniqKey="Primeau R" first="Robert" last="Primeau">Robert Primeau</name><name sortKey="Primeau, Robert" sort="Primeau, Robert" uniqKey="Primeau R" first="Robert" last="Primeau">Robert Primeau</name><name sortKey="Savard, Pierre" sort="Savard, Pierre" uniqKey="Savard P" first="Pierre" last="Savard">Pierre Savard</name><name sortKey="Savard, Pierre" sort="Savard, Pierre" uniqKey="Savard P" first="Pierre" last="Savard">Pierre Savard</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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