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Latent Sinoatrial Conduction Disturbances in Symptomatic Patients with Wolff‐Parkinson‐White Syndrome

Identifieur interne : 000409 ( Main/Corpus ); précédent : 000408; suivant : 000410

Latent Sinoatrial Conduction Disturbances in Symptomatic Patients with Wolff‐Parkinson‐White Syndrome

Auteurs : Peter Rakovec ; Primo Rode ; Japec Jakopin ; Matija Horvat

Source :

RBID : ISTEX:3076ECAA77CE9B18812DD6A5571F936603E15798

English descriptors

Abstract

Sinoatrial conduction abnormalities were studied in fourteen patients with Wolff‐Parkinson‐White (WPW) syndrome and frequent attacks of supraventricular paroxysmal tachycardia. Sinoatrial conduction time (SACT), obtained by the method of constant atrial pacing, was prolonged in all but two patients. The mean value was 277 ± 56 ms (mean ± SD). SACT was measured in the same way in sixteen patients without signs of pre‐excitation or Sinoatrial disease; SACT was significantly shorter (p < 0.001) than in the WPW group of patients. The prolongation of SACT in patients with WPW syndrome was confirmed by measuring SACT by the alternative method of programmed atrial stimulation. SACT was found to be prolonged in eight patients (mean ± SD = 239 ± 47 ms). Whether our results should be attributed to WPW syndrome or frequent supraventricular tachycardias—both being a characteristic feature of our patients—remains uncertain. The results of this study, however, indicate that in symptomatic patients with WPW syndrome and frequent episodes of supraventricular tachycardia, Sinoatrial conduction is frequently impaired. Slackening of the sinoatrial conduction is a possible predisposing factor for initiation of tachycardias in the WPW syndrome.

Url:
DOI: 10.1111/j.1540-8159.1983.tb06573.x

Links to Exploration step

ISTEX:3076ECAA77CE9B18812DD6A5571F936603E15798

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<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">JAPEC</namePart>
<namePart type="family">JAKOPIN</namePart>
<affiliation>Cardiological Clinic and Center of Intensive Internal Medicine, Clinical Center, and Institute of Physiology, Medical Faculty, Ljubljana, Slovenia, Yugoslavia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">MATIJA</namePart>
<namePart type="family">HORVAT</namePart>
<affiliation>Cardiological Clinic and Center of Intensive Internal Medicine, Clinical Center, and Institute of Physiology, Medical Faculty, Ljubljana, Slovenia, Yugoslavia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<typeOfResource>text</typeOfResource>
<genre type="article" displayLabel="article"></genre>
<originInfo>
<publisher>Blackwell Publishing Ltd</publisher>
<place>
<placeTerm type="text">Oxford, UK</placeTerm>
</place>
<dateIssued encoding="w3cdtf">1983-01</dateIssued>
<edition>Received October 21, 1981; revision received December 23, 1981; accepted January 8, 1982</edition>
<copyrightDate encoding="w3cdtf">1983</copyrightDate>
</originInfo>
<language>
<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
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<internetMediaType>text/html</internetMediaType>
<extent unit="references">24</extent>
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<abstract lang="en">Sinoatrial conduction abnormalities were studied in fourteen patients with Wolff‐Parkinson‐White (WPW) syndrome and frequent attacks of supraventricular paroxysmal tachycardia. Sinoatrial conduction time (SACT), obtained by the method of constant atrial pacing, was prolonged in all but two patients. The mean value was 277 ± 56 ms (mean ± SD). SACT was measured in the same way in sixteen patients without signs of pre‐excitation or Sinoatrial disease; SACT was significantly shorter (p < 0.001) than in the WPW group of patients. The prolongation of SACT in patients with WPW syndrome was confirmed by measuring SACT by the alternative method of programmed atrial stimulation. SACT was found to be prolonged in eight patients (mean ± SD = 239 ± 47 ms). Whether our results should be attributed to WPW syndrome or frequent supraventricular tachycardias—both being a characteristic feature of our patients—remains uncertain. The results of this study, however, indicate that in symptomatic patients with WPW syndrome and frequent episodes of supraventricular tachycardia, Sinoatrial conduction is frequently impaired. Slackening of the sinoatrial conduction is a possible predisposing factor for initiation of tachycardias in the WPW syndrome.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>Sinoatrial conduction</topic>
<topic>supraventricular tachycardia</topic>
<topic>sick sinus syndrome</topic>
<topic>WPW syndrome</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Pacing and Clinical Electrophysiology</title>
</titleInfo>
<genre type="Journal">journal</genre>
<identifier type="ISSN">0147-8389</identifier>
<identifier type="eISSN">1540-8159</identifier>
<identifier type="DOI">10.1111/(ISSN)1540-8159</identifier>
<identifier type="PublisherID">PACE</identifier>
<part>
<date>1983</date>
<detail type="volume">
<caption>vol.</caption>
<number>6</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>1</number>
</detail>
<extent unit="pages">
<start>2</start>
<end>7</end>
<total>6</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">3076ECAA77CE9B18812DD6A5571F936603E15798</identifier>
<identifier type="DOI">10.1111/j.1540-8159.1983.tb06573.x</identifier>
<identifier type="ArticleID">PACE2</identifier>
<recordInfo>
<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
</recordInfo>
</mods>
</metadata>
<serie></serie>
</istex>
</record>

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