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- W2393354493 abstract "Objective To evaluate the electrophysiologic features and the effect of radiofrequency ablation of right sided atrioventricular accessory pathway with anterograde decremental conduction. Methods Seven patients [4 women and 3 men,mean age (32±16) years] with antidromic atrioventricular reentrant tachycardia having a left bundle branch block pattern underwent electrophysiologic evaluation and radiofrequency catheter ablation. Results All accessory pathways in these seven patients were found to conduct only in the anterograde direction with decremental conduction properties.Programmed atrial stimulation and adenosine triphosphate (ATP) each caused accessory pathway conduction delay and Wenckebach block.The results of right atrial extrastimulation and mapping earliest ventricular activation during antidromic atrioventricular reentrant tachycardia,suggested that both atrial and ventricular insertions of these accessory pathways were immediately contiguous to the tricuspid annulus.All accessory pathways were successfully ablated at the tricuspid annulus with the earliest ventricular activation [mean V δ interval:(25±4) ms],but no accessory pathway potential was recorded.Tachycardia did not recur during a mean follow up of (16±5) months. Conclusions The right sided atrioventricular accessory pathway with anterograde decremental conduction is one type of Mahaim like fiber.Radiofrequency current applied to the tricuspid annulus can safely eliminate accessory pathway conduction.Accessory pathway potential may not be recorded at the successful ablation site." @default.
- W2393354493 created "2016-06-24" @default.
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- W2393354493 date "2000-01-01" @default.
- W2393354493 modified "2023-09-24" @default.
- W2393354493 title "The electrophysiologic features and radiofrequency ablation of Mahaim like fiber with anterograde decremental conduction" @default.
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