Full Description
correction of such a reentry when he observed The W olff-Parkinson-White (WPW) syndrome, . . . in a favourable experiment, the vigorous the most common variety of preexcitation, has for some time held a fascination for those circulating wave and its instantaneous arrest by interested in clinical electrophysiology because section of the ring is a sight not easily forgotten. it seems to represent a naturally occurring event which, if adequately understood, would un Courageous is the only way to describe the mask answers to many fundamental questions first attempt to surgically interrupt an accessory concerning mechanisms and treatment of car pathway. The immensity of the feat speaks for diac arrhythmias. Thus, it has been described by itself: Open heart surgery was performed to Scherf and Neufeld [1] as the "Rosetta Stone" divide an invisible stream of electrons! This of electrocardiography. historic event was not anticipated. A fisherman The historic overview of the pre excitation from the coast of North Carolina presented to syndromes will be deferred to Dr. Burchell's Duke University Medical Center in 1968 with authoritative chapter, but a few highlights de refractory supraventricular tachycardia related serve emphasis here because they graphically to the WPW syndrome [2]. Attempts to control portray how elements of serendipity, courage, the tachycardia medically failed. Dr. Andrew and luck played important roles in the unfold Wallace (then Director of the Coronary Care Unit) had recently returned from the NIH ing of the mysteries of preexcitation.
Contents
I. Basic Concepts.- 1. Ventricular Preexcitation: Historica Overview.- 2. Developmental Aspects and Natural History of Preexcitation Syndromes.- 3. Anatomic Basis for Preexcitation Syndromes.- II. Electrocardiographic and Electrophysiologic Manifestations.- 4. Electrocardiographic Aspects of Preexcitation Syndromes.- 5. First Harmonic Fourier (Phase) Analysis of Blood Pool Scintigrams for the Analysis of Cardiac Conduction Abnormalities.- 6. The Spectrum of Tachyarrhythmias in Preexcitation Syndromes.- 7. Role of His—Purkinje System in the Initiation of Orthodromic Tachycardia in Wolff-Parkinson-White Syndrome.- 8. Response of Accessory AV Pathways to Exercise and Catecholamines.- III. Spectrum of Preexcitation Syndromes.- 9. Electrophysiologic Characteristics of Accessory Connections: An Overview.- 10. Role of Nodoventricular and Fasciculoventricular Connections in Tachyarrhythmias.- 11. The Permanent Form of Junctional Reciprocating Tachycardia.- 12. AV Node Bypass Tracts and Enhanced AV Conduction: Relation to Ventricular Preexcitation.- 13. Enhanced AV Conduction: Characteristics of Retrograde Conduction.- 14. Preexcitation Syndromes Associated with Congenital Heart Disease.- IV. Electrophysiologic Evaluation.- 15. Initial Evaluation of the Patient with the Wolff-Parkinson-White Syndrome.- 16. Transesophageal Recording and Pacing Techniques for Evaluation of Patients with Preexcitation.- 17. The Role of Invasive Electrophysiologic Studies in Preexcitation Syndromes.- 18. Evaluation of Pediatric Patients with Preexcitation Syndromes.- 19. New Catheter Techniques for Recording Accessory AV Pathway Activation.- V. Treatment.- 20. Practical Management of the WolffParkinson-White Syndrome.- 21. Antiarrhythmic Drug Therapy in Patients with Preexcitation Syndrome.- 22.Treatment of Pediatric Patients with Preexcitation Syndromes.- 23. Pacemaker Techniques for Management of Tachycardias Associated with Preexcitation Syndromes.- 24. Catheter Ablation for Patients with Ventricular Preexcitation Syndromes.- 25. Techniques for Intraoperative Mapping of Tachyarrhythmias in Preexcitation Syndromes.- 26. Surgery for Preexcitation Syndromes.- 27. Surgical Treatment of Wolff-Parkinson-White Syndrome: The Epicardial Approach.- VI. Future Prospects.- 28. Unresolved Issues in Evaluation and Treatment of Preexcitation Syndromes.
