Since they were first described, preexcitation syndromes haveintrigued physicians. The interest derives in part from themyriad bizarre electrocardiographic abnormalities associatedwith these syndromes and from the variety of complex arrhythmiasthat may be manifested in affected patients. Symptomatic tachycardiasdevelop in patients with the WolffParkinsonWhitesyndrome because there is conduction over an accessory (extranodal)atrioventricular pathway consisting of working myocardium. Sincean impulse arising from the sinus node can activate the atrioventricularnode and the more rapidly conducting accessory pathway in parallel,the ventricle ipsilateral to the site where the accessory pathwayenters the myocardium is excited prematurely. . . . [Full Text of this Article]
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From the Cardiology Division, Department of Medicine, Weill Medical College of Cornell University, New York.
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