Publikation

A delta wave in a healthy Swiss conscript: one does not always have to burn to learn

Wissenschaftlicher Artikel/Review - 01.10.2010

Bereiche
PubMed
DOI

Zitation
Kühne M, Ammann P, Schaer B, Sticherling C, Osswald S. A delta wave in a healthy Swiss conscript: one does not always have to burn to learn. Pacing Clin Electrophysiol 2010; 33:e93-5.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Pacing Clin Electrophysiol 2010; 33
Veröffentlichungsdatum
01.10.2010
eISSN (Online)
1540-8159
Seiten
e93-5
Kurzbeschreibung/Zielsetzung

We present a case of a conscript who was referred for ablation of asymptomatic Wolff-Parkinson-White syndrome. However, the electrophysiologic study revealed the presence of an accessory pathway arising infranodally in the His-Purkinje system, and inserting into the nearby ventricle. The case emphasizes the limitations of the surface ECG and the importance of a thorough electrophysiologic study. Our patient required no specific therapy but correction of the diagnosis before being declared fit for military service. A second interesting finding not described before with this type of pathway was the occurrence of transient mechanical interruption of accessory pathway conduction.