Wolff-Parkinson-White syndrome
Identifieur interne : 000085 ( Main/Corpus ); précédent : 000084; suivant : 000086Wolff-Parkinson-White syndrome
Auteurs : Selvyn Bleifer ; Melvin Kahn ; Arthur Grishman ; Ephraim DonosoSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1959.
Abstract
1.1. Thirty-eight cases of Wolff-Parkinson-White syndrome are analyzed by vectorcardiographic and electrocardiographic correlative study.2.2. Although electrocardiographic grouping into types A and B has been challenged as being unnecessary, vectorially the delta vector or QRS sÊ loops in the horizontal plane fell into two distinct quadrants which we have designated as groups A and B, respectively. In group A the delta vector is anteriorly oriented, and in the +30 degrees and +120 degrees quadrant in the horizontal plane. In group B the delta vector is oriented to the left, and in the −60 degrees to +30 degrees quadrant in the horizontal plane. In group A the QRS sÊ loop was more commonly inferiorly oriented, whereas in group B the QRS sÊ loop was more commonly superiorly oriented, although there was overlap.3.3. The delta portion of the QRS sÊ loop was usually oriented in the same direction as the remainder of the QRS sÊ loop, and determined the spatial orientation of the QRS sÊ loop.4.4. Some of the clinical features of this syndrome are briefly discussed, including the association with paroxysmal tachycardia and atrial fibrillation or flutter.5.5. The pitfalls in the diagnosis of myocardial infarction in the presence of this syndrome are stressed.6.6. In patients whose conduction became normal the QRS sÊ loops that were observed were usually greatly dissimilar from those recorded during WPW conduction. This observation, in conjunction with the electro-kymographic and catheterization studies of others which demonstrated no abnormal asynchronysm of ventricular contraction, suggests to us that early excitation of just one ventricle cannot take place, and that therefore not only the initial portion of spread of excitation is anomalous, but also the entire conduction through both ventricles may be anomalous.
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DOI: 10.1016/0002-9149(59)90045-1
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Wolff-Parkinson-White syndrome</title><author><name sortKey="Bleifer, Selvyn" sort="Bleifer, Selvyn" uniqKey="Bleifer S" first="Selvyn" last="Bleifer">Selvyn Bleifer</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation><affiliation><mods:affiliation>†Present address: 7520th. USAF Hospital, APO 125, c/o Postmaster, New York City.</mods:affiliation></affiliation></author><author><name sortKey="Kahn, Melvin" sort="Kahn, Melvin" uniqKey="Kahn M" first="Melvin" last="Kahn">Melvin Kahn</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation></author><author><name sortKey="Grishman, Arthur" sort="Grishman, Arthur" uniqKey="Grishman A" first="Arthur" last="Grishman">Arthur Grishman</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation></author><author><name sortKey="Donoso, Ephraim" sort="Donoso, Ephraim" uniqKey="Donoso E" first="Ephraim" last="Donoso">Ephraim Donoso</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:ED96EF30EE5A1A8847B2931C975C3367797B9583</idno><date when="1959" year="1959">1959</date><idno type="doi">10.1016/0002-9149(59)90045-1</idno><idno type="url">https://api.istex.fr/document/ED96EF30EE5A1A8847B2931C975C3367797B9583/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000085</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Wolff-Parkinson-White syndrome</title><author><name sortKey="Bleifer, Selvyn" sort="Bleifer, Selvyn" uniqKey="Bleifer S" first="Selvyn" last="Bleifer">Selvyn Bleifer</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation><affiliation><mods:affiliation>†Present address: 7520th. USAF Hospital, APO 125, c/o Postmaster, New York City.</mods:affiliation></affiliation></author><author><name sortKey="Kahn, Melvin" sort="Kahn, Melvin" uniqKey="Kahn M" first="Melvin" last="Kahn">Melvin Kahn</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation></author><author><name sortKey="Grishman, Arthur" sort="Grishman, Arthur" uniqKey="Grishman A" first="Arthur" last="Grishman">Arthur Grishman</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation></author><author><name sortKey="Donoso, Ephraim" sort="Donoso, Ephraim" uniqKey="Donoso E" first="Ephraim" last="Donoso">Ephraim Donoso</name><affiliation><mods:affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="ISSN">0002-9149</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1959">1959</date><biblScope unit="volume">4</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="321">321</biblScope><biblScope unit="page" to="333">333</biblScope></imprint><idno type="ISSN">0002-9149</idno></series><idno type="istex">ED96EF30EE5A1A8847B2931C975C3367797B9583</idno><idno type="DOI">10.1016/0002-9149(59)90045-1</idno><idno type="PII">0002-9149(59)90045-1</idno><idno type="ArticleID">59900451</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9149</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">1.1. Thirty-eight cases of Wolff-Parkinson-White syndrome are analyzed by vectorcardiographic and electrocardiographic correlative study.2.2. Although electrocardiographic grouping into types A and B has been challenged as being unnecessary, vectorially the delta vector or QRS sÊ loops in the horizontal plane fell into two distinct quadrants which we have designated as groups A and B, respectively. In group A the delta vector is anteriorly oriented, and in the +30 degrees and +120 degrees quadrant in the horizontal plane. In group B the delta vector is oriented to the left, and in the −60 degrees to +30 degrees quadrant in the horizontal plane. In group A the QRS sÊ loop was more commonly inferiorly oriented, whereas in group B the QRS sÊ loop was more commonly superiorly oriented, although there was overlap.3.3. The delta portion of the QRS sÊ loop was usually oriented in the same direction as the remainder of the QRS sÊ loop, and determined the spatial orientation of the QRS sÊ loop.4.4. Some of the clinical features of this syndrome are briefly discussed, including the association with paroxysmal tachycardia and atrial fibrillation or flutter.5.5. The pitfalls in the diagnosis of myocardial infarction in the presence of this syndrome are stressed.6.6. In patients whose conduction became normal the QRS sÊ loops that were observed were usually greatly dissimilar from those recorded during WPW conduction. This observation, in conjunction with the electro-kymographic and catheterization studies of others which demonstrated no abnormal asynchronysm of ventricular contraction, suggests to us that early excitation of just one ventricle cannot take place, and that therefore not only the initial portion of spread of excitation is anomalous, but also the entire conduction through both ventricles may be anomalous.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Selvyn Bleifer M.D.</name><affiliations><json:string>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</json:string><json:string>†Present address: 7520th. USAF Hospital, APO 125, c/o Postmaster, New York City.</json:string></affiliations></json:item><json:item><name>Melvin Kahn M.D.</name><affiliations><json:string>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</json:string></affiliations></json:item><json:item><name>Arthur Grishman M.D., F.A.C.C.</name><affiliations><json:string>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</json:string></affiliations></json:item><json:item><name>Ephraim Donoso M.D.</name><affiliations><json:string>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</json:string></affiliations></json:item></author><articleId><json:string>59900451</json:string></articleId><language><json:string>eng</json:string></language><abstract>1.1. Thirty-eight cases of Wolff-Parkinson-White syndrome are analyzed by vectorcardiographic and electrocardiographic correlative study.2.2. Although electrocardiographic grouping into types A and B has been challenged as being unnecessary, vectorially the delta vector or QRS sÊ loops in the horizontal plane fell into two distinct quadrants which we have designated as groups A and B, respectively. In group A the delta vector is anteriorly oriented, and in the +30 degrees and +120 degrees quadrant in the horizontal plane. In group B the delta vector is oriented to the left, and in the −60 degrees to +30 degrees quadrant in the horizontal plane. In group A the QRS sÊ loop was more commonly inferiorly oriented, whereas in group B the QRS sÊ loop was more commonly superiorly oriented, although there was overlap.3.3. The delta portion of the QRS sÊ loop was usually oriented in the same direction as the remainder of the QRS sÊ loop, and determined the spatial orientation of the QRS sÊ loop.4.4. Some of the clinical features of this syndrome are briefly discussed, including the association with paroxysmal tachycardia and atrial fibrillation or flutter.5.5. The pitfalls in the diagnosis of myocardial infarction in the presence of this syndrome are stressed.6.6. In patients whose conduction became normal the QRS sÊ loops that were observed were usually greatly dissimilar from those recorded during WPW conduction. This observation, in conjunction with the electro-kymographic and catheterization studies of others which demonstrated no abnormal asynchronysm of ventricular contraction, suggests to us that early excitation of just one ventricle cannot take place, and that therefore not only the initial portion of spread of excitation is anomalous, but also the entire conduction through both ventricles may be anomalous.</abstract><qualityIndicators><score>8.5</score><pdfVersion>1.4</pdfVersion><pdfPageSize>540 x 756 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1837</abstractCharCount><pdfWordCount>6208</pdfWordCount><pdfCharCount>34016</pdfCharCount><pdfPageCount>13</pdfPageCount><abstractWordCount>282</abstractWordCount></qualityIndicators><title>Wolff-Parkinson-White syndrome</title><pii><json:string>0002-9149(59)90045-1</json:string></pii><genre><json:string>research-article</json:string></genre><host><volume>4</volume><pii><json:string>S0002-9149(00)X0292-5</json:string></pii><pages><last>333</last><first>321</first></pages><issn><json:string>0002-9149</json:string></issn><issue>3</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>The American Journal of Cardiology</title><publicationDate>1959</publicationDate></host><publicationDate>1959</publicationDate><copyrightDate>1959</copyrightDate><doi><json:string>10.1016/0002-9149(59)90045-1</json:string></doi><id>ED96EF30EE5A1A8847B2931C975C3367797B9583</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/ED96EF30EE5A1A8847B2931C975C3367797B9583/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/ED96EF30EE5A1A8847B2931C975C3367797B9583/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/ED96EF30EE5A1A8847B2931C975C3367797B9583/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/ED96EF30EE5A1A8847B2931C975C3367797B9583/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Wolff-Parkinson-White syndrome</title><title level="a" type="sub" xml:lang="en">A vectorcardiographic, electrocardiographic and clinical study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1959</date></publicationStmt><notesStmt><note type="content">Section title: Study of WPW syndrome</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Wolff-Parkinson-White syndrome</title><title level="a" type="sub" xml:lang="en">A vectorcardiographic, electrocardiographic and clinical study</title><author><persName><forename type="first">Selvyn</forename><surname>Bleifer</surname></persName><roleName type="degree">M.D.</roleName><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation><affiliation>†Present address: 7520th. USAF Hospital, APO 125, c/o Postmaster, New York City.</affiliation></author><author><persName><forename type="first">Melvin</forename><surname>Kahn</surname></persName><roleName type="degree">M.D.</roleName><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation></author><author><persName><forename type="first">Arthur</forename><surname>Grishman</surname></persName><roleName type="degree">M.D., F.A.C.C.</roleName><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation></author><author><persName><forename type="first">Ephraim</forename><surname>Donoso</surname></persName><roleName type="degree">M.D.</roleName><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation></author></analytic><monogr><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="pISSN">0002-9149</idno><idno type="PII">S0002-9149(00)X0292-5</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1959"></date><biblScope unit="volume">4</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="321">321</biblScope><biblScope unit="page" to="333">333</biblScope></imprint></monogr><idno type="istex">ED96EF30EE5A1A8847B2931C975C3367797B9583</idno><idno type="DOI">10.1016/0002-9149(59)90045-1</idno><idno type="PII">0002-9149(59)90045-1</idno><idno type="ArticleID">59900451</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1959</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>1.1. Thirty-eight cases of Wolff-Parkinson-White syndrome are analyzed by vectorcardiographic and electrocardiographic correlative study.2.2. Although electrocardiographic grouping into types A and B has been challenged as being unnecessary, vectorially the delta vector or QRS sÊ loops in the horizontal plane fell into two distinct quadrants which we have designated as groups A and B, respectively. In group A the delta vector is anteriorly oriented, and in the +30 degrees and +120 degrees quadrant in the horizontal plane. In group B the delta vector is oriented to the left, and in the −60 degrees to +30 degrees quadrant in the horizontal plane. In group A the QRS sÊ loop was more commonly inferiorly oriented, whereas in group B the QRS sÊ loop was more commonly superiorly oriented, although there was overlap.3.3. The delta portion of the QRS sÊ loop was usually oriented in the same direction as the remainder of the QRS sÊ loop, and determined the spatial orientation of the QRS sÊ loop.4.4. Some of the clinical features of this syndrome are briefly discussed, including the association with paroxysmal tachycardia and atrial fibrillation or flutter.5.5. The pitfalls in the diagnosis of myocardial infarction in the presence of this syndrome are stressed.6.6. In patients whose conduction became normal the QRS sÊ loops that were observed were usually greatly dissimilar from those recorded during WPW conduction. This observation, in conjunction with the electro-kymographic and catheterization studies of others which demonstrated no abnormal asynchronysm of ventricular contraction, suggests to us that early excitation of just one ventricle cannot take place, and that therefore not only the initial portion of spread of excitation is anomalous, but also the entire conduction through both ventricles may be anomalous.</p></abstract></profileDesc><revisionDesc><change when="1959">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>AJC</jid><aid>59900451</aid><ce:pii>0002-9149(59)90045-1</ce:pii><ce:doi>10.1016/0002-9149(59)90045-1</ce:doi><ce:copyright type="unknown" year="1959"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Study of WPW syndrome</ce:textfn></ce:dochead><ce:title>Wolff-Parkinson-White syndrome</ce:title><ce:subtitle>A vectorcardiographic, electrocardiographic and clinical study</ce:subtitle><ce:author-group><ce:author><ce:given-name>Selvyn</ce:given-name><ce:surname>Bleifer</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref><ce:cross-ref refid="FN1"><ce:sup loc="post">†</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Melvin</ce:given-name><ce:surname>Kahn</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Arthur</ce:given-name><ce:surname>Grishman</ce:surname><ce:degrees>M.D., F.A.C.C.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Ephraim</ce:given-name><ce:surname>Donoso</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>∗</ce:label><ce:textfn>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</ce:textfn></ce:affiliation><ce:footnote id="FN1"><ce:label>†</ce:label><ce:note-para>Present address: 7520th. USAF Hospital, APO 125, c/o Postmaster, New York City.</ce:note-para></ce:footnote></ce:author-group><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010"><ce:list id="list.0010"><ce:list-item id="list-item.0010"><ce:label>1.</ce:label><ce:para view="all" id="para.0010">1. Thirty-eight cases of Wolff-Parkinson-White syndrome are analyzed by vectorcardiographic and electrocardiographic correlative study.</ce:para></ce:list-item><ce:list-item id="list-item.0015"><ce:label>2.</ce:label><ce:para view="all" id="para.0015">2. Although electrocardiographic grouping into types A and B has been challenged as being unnecessary, vectorially the delta vector or QRS sÊ loops in the horizontal plane fell into two distinct quadrants which we have designated as groups A and B, respectively. In group A the delta vector is anteriorly oriented, and in the +30 degrees and +120 degrees quadrant in the horizontal plane. In group B the delta vector is oriented to the left, and in the −60 degrees to +30 degrees quadrant in the horizontal plane. In group A the QRS sÊ loop was more commonly inferiorly oriented, whereas in group B the QRS sÊ loop was more commonly superiorly oriented, although there was overlap.</ce:para></ce:list-item><ce:list-item id="list-item.0020"><ce:label>3.</ce:label><ce:para view="all" id="para.0020">3. The delta portion of the QRS sÊ loop was usually oriented in the same direction as the remainder of the QRS sÊ loop, and determined the spatial orientation of the QRS sÊ loop.</ce:para></ce:list-item><ce:list-item id="list-item.0025"><ce:label>4.</ce:label><ce:para view="all" id="para.0025">4. Some of the clinical features of this syndrome are briefly discussed, including the association with paroxysmal tachycardia and atrial fibrillation or flutter.</ce:para></ce:list-item><ce:list-item id="list-item.0030"><ce:label>5.</ce:label><ce:para view="all" id="para.0030">5. The pitfalls in the diagnosis of myocardial infarction in the presence of this syndrome are stressed.</ce:para></ce:list-item><ce:list-item id="list-item.0035"><ce:label>6.</ce:label><ce:para view="all" id="para.0035">6. In patients whose conduction became normal the QRS sÊ loops that were observed were usually greatly dissimilar from those recorded during WPW conduction. This observation, in conjunction with the electro-kymographic and catheterization studies of others which demonstrated no abnormal asynchronysm of ventricular contraction, suggests to us that early excitation of just one ventricle cannot take place, and that therefore not only the initial portion of spread of excitation is anomalous, but also the entire conduction through both ventricles may be anomalous.</ce:para></ce:list-item></ce:list></ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Wolff-Parkinson-White syndrome</title><subTitle>A vectorcardiographic, electrocardiographic and clinical study</subTitle></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Wolff-Parkinson-White syndrome</title><subTitle>A vectorcardiographic, electrocardiographic and clinical study</subTitle></titleInfo><name type="personal"><namePart type="given">Selvyn</namePart><namePart type="family">Bleifer</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation><affiliation>†Present address: 7520th. USAF Hospital, APO 125, c/o Postmaster, New York City.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Melvin</namePart><namePart type="family">Kahn</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Arthur</namePart><namePart type="family">Grishman</namePart><namePart type="termsOfAddress">M.D., F.A.C.C.</namePart><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ephraim</namePart><namePart type="family">Donoso</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>From the Division of Cardiology, Department of Medicine, The Mount Sinai Hospital, New York, New YorkUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1959</dateIssued><copyrightDate encoding="w3cdtf">1959</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">1.1. Thirty-eight cases of Wolff-Parkinson-White syndrome are analyzed by vectorcardiographic and electrocardiographic correlative study.2.2. Although electrocardiographic grouping into types A and B has been challenged as being unnecessary, vectorially the delta vector or QRS sÊ loops in the horizontal plane fell into two distinct quadrants which we have designated as groups A and B, respectively. In group A the delta vector is anteriorly oriented, and in the +30 degrees and +120 degrees quadrant in the horizontal plane. In group B the delta vector is oriented to the left, and in the −60 degrees to +30 degrees quadrant in the horizontal plane. In group A the QRS sÊ loop was more commonly inferiorly oriented, whereas in group B the QRS sÊ loop was more commonly superiorly oriented, although there was overlap.3.3. The delta portion of the QRS sÊ loop was usually oriented in the same direction as the remainder of the QRS sÊ loop, and determined the spatial orientation of the QRS sÊ loop.4.4. Some of the clinical features of this syndrome are briefly discussed, including the association with paroxysmal tachycardia and atrial fibrillation or flutter.5.5. The pitfalls in the diagnosis of myocardial infarction in the presence of this syndrome are stressed.6.6. In patients whose conduction became normal the QRS sÊ loops that were observed were usually greatly dissimilar from those recorded during WPW conduction. This observation, in conjunction with the electro-kymographic and catheterization studies of others which demonstrated no abnormal asynchronysm of ventricular contraction, suggests to us that early excitation of just one ventricle cannot take place, and that therefore not only the initial portion of spread of excitation is anomalous, but also the entire conduction through both ventricles may be anomalous.</abstract><note type="content">Section title: Study of WPW syndrome</note><relatedItem type="host"><titleInfo><title>The American Journal of Cardiology</title></titleInfo><titleInfo type="abbreviated"><title>AJC</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">195909</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(00)X0292-5</identifier><part><date>195909</date><detail type="volume"><number>4</number><caption>vol.</caption></detail><detail type="issue"><number>3</number><caption>no.</caption></detail><extent unit="issue pages"><start>P1</start><end>P34</end></extent><extent unit="issue pages"><start>P35</start><end>P46</end></extent><extent unit="issue pages"><start>279</start><end>426</end></extent><extent unit="pages"><start>321</start><end>333</end></extent></part></relatedItem><identifier type="istex">ED96EF30EE5A1A8847B2931C975C3367797B9583</identifier><identifier type="DOI">10.1016/0002-9149(59)90045-1</identifier><identifier type="PII">0002-9149(59)90045-1</identifier><identifier type="ArticleID">59900451</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:refBibTEI uri="https://api.istex.fr/document/ED96EF30EE5A1A8847B2931C975C3367797B9583/enrichments/refBib"><teiHeader></teiHeader><text><front></front><body></body><back><listBibl><biblStruct><analytic><title level="a" type="main">The potential variation of the thorax and tic esophagus in anomalous atrio-ventricular excitation (Wo1IGParkinsoto-White syn-drome) Am</title><author><persName><forename type="first">F</forename><forename type="middle">F</forename><surname>Rosendaem</surname></persName></author><author><persName><forename type="first">H</forename><forename type="middle">H</forename><surname>Iiecht</surname></persName></author><author><persName><forename type="first">F</forename><surname>Wnsin</surname></persName></author><author><persName><forename type="first">N</forename></persName></author><author><persName><forename type="first">N</forename></persName></author><author><persName><forename type="first">F</forename><forename type="middle">D</forename></persName></author></analytic><monogr><title level="m">Tnostsl:N, P ., FISHLEnaR, B . 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