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Chest, Vol 80, 237-239, Copyright © 1981 by American College of Chest Physicians

ARTICLES

One-to-two atrioventricular conduction in Wolff-Parkinson-White syndrome: a mechanism of initiating supraventricular tachycardia

MD Ezri, SR Spielman, AM Greenspan and ME Josephson

A patient with Wolff-Parkinson-White syndrome and recurrent supraventricular tachycardia manifested the unusual finding of two ventricular responses to a single atrial depolarization. The second response occurred due to delay in the His-Purkinje system (H-V prolongation). This phenomenon was a mechanism of initiation of supraventricular tachycardia, not previously described to our knowledge.




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Copyright © 1981 by the American College of Chest Physicians.