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Correlation between localization of accessory conduction pathway and body surface maps in the Wolff-Parkinson-White syndrome Tatsuo Magara 1 , Takashi Iwa 1 , Hiroaki Kobayashi 1 , Takuro Misaki 1 , Takaaki Iwase 1 , Michio Kawasuji 1 1Department of Surgery, School of Medicine, Kanazawa University pp.1085-1089
Published Date 1981/10/15
DOI https://doi.org/10.11477/mf.1404203862
  • Abstract
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Body surface maps were recorded in 26 patients with Wolff-Parkinson-White syndrome, who underwent successful localization and inter-ruption of the accessory conduction pathway. We could classify five types of body surface maps according to the location of the potential maximum and minimum in the delta wave. Each type correlated well with the location of the accessory pathway, which was determined intra-operatively through epicardial and/or endo-cardial maps or surgical interruption.

In the left free wall type map, the potential minimum in the delta wave was on the back and the potential maximum was on the anterior chest wall. When the potential minimum was located on the lower back, the accessory pathway was located on the posterior left ventricular wall. When the potential minimum was locat-ed on the upper back, the accessory pathway was located on the antero-lateral left ventricular wall.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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