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Electrocardiographic characteristics of fasciculoventricular pathways

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dc.contributor.authorOh, Seil-
dc.contributor.authorChoi, Yun-Shik-
dc.contributor.authorChoi, Eue-Keun-
dc.contributor.authorKim, Hyo-Soo-
dc.contributor.authorSohn, Dae-Won-
dc.contributor.authorOh, Byung-Hee-
dc.contributor.authorLee, Myoung-Mook-
dc.contributor.authorPark, Young-Bae-
dc.date.accessioned2010-01-08T08:25:33Z-
dc.date.available2010-01-08T08:25:33Z-
dc.date.issued2005-01-22-
dc.identifier.citationPacing Clin Electrophysiol. 2005 Jan;28(1):25-8.en
dc.identifier.issn0147-8389 (Print)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15660798-
dc.identifier.urihttp://hdl.handle.net/10371/29065-
dc.description.abstractINTRODUCTION: Fasciculoventricular (FV) pathways are rare variants of preexcitation, and their ECGs may be misinterpreted as Wolff-Parkinson-White syndrome with anteroseptal accessory pathways (WPW-AS). We analyzed the electrocardiographic characteristics of the patients with FV pathways to find out the different findings from WPW-AS. METHODS AND RESULTS: Five patients with FV pathways and four patients with WPW-AS who underwent electrophysiologic studies were evaluated. Intervals and amplitudes of each wave and QRS morphologies were analyzed in standard 12-lead ECGs of these patients by two independent cardiologists without the information of the electrophysiologic findings. PR intervals were longer in FV pathways (122 +/- 11.0 vs 83 +/- 21 ms, FV pathways vs WPW-AS, P = 0.017). In lead V1, narrower width of R waves (25 +/- 6 vs 45 +/- 13 ms, P = 0.037) and smaller amplitude of S waves (12.8 +/- 8.3 vs 26.6 +/- 7.4 mm, P = 0.037) were observed in FV pathways. The polarity of delta waves in V1 was flat or negative in contrast with the cases of WPW-AS in which the polarity was positive. Three of five patients had notching in the descending limb of S waves in V1, which was not observed in WPW-AS. CONCLUSION: FV pathways have different ECG characteristics from WPW-AS in PR interval and morphology of QRS complexes in lead V1 of the standard 12-lead ECG.en
dc.language.isoenen
dc.publisherWiley-Blackwellen
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectDiagnosis, Differentialen
dc.subject*Electrocardiographyen
dc.subjectFemaleen
dc.subjectHeart Ventricles/physiopathologyen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPre-Excitation Syndromes/*diagnosis/physiopathologyen
dc.subjectWolff-Parkinson-White Syndrome/diagnosisen
dc.titleElectrocardiographic characteristics of fasciculoventricular pathwaysen
dc.typeArticleen
dc.contributor.AlternativeAuthor오세일-
dc.contributor.AlternativeAuthor최윤식-
dc.contributor.AlternativeAuthor최의근-
dc.contributor.AlternativeAuthor김효수-
dc.contributor.AlternativeAuthor손대원-
dc.contributor.AlternativeAuthor오병희-
dc.contributor.AlternativeAuthor이명묵-
dc.contributor.AlternativeAuthor박영배-
dc.identifier.doi10.1111/j.1540-8159.2005.09371.x-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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