A delta wave in a healthy Swiss conscript: one does not always have to burn to learn.
We present a case of a conscript who was referred for ablation of asymptomatic Wolff-Parkinson-White syndrome. However, the electrophysiologic study revealed the presence of an accessory pathway arising infranodally in the His-Purkinje system, and inserting into the nearby ventricle. The case emphasizes the limitations of the surface ECG and the importance of a thorough electrophysiologic study. Our patient required no specific therapy but correction of the diagnosis before being declared fit for military service. A second interesting finding not described before with this type of pathway was the occurrence of transient mechanical interruption of accessory pathway conduction.
Kühne
Michael
M
Division of Cardiology, University of Basel Hospital, Petersgraben 4, Basel, Switzerland. kuehnem@uhbs.ch
Ammann
Peter
P
Schaer
Beat
B
Sticherling
Christian
C
Osswald
Stefan
S
D058606:Accessory Atrioventricular Bundle / Q000175:diagnosis* / Q000503:physiopathology; D017115:Catheter Ablation; D004562:Electrocardiography / Q000379:methods*; D006329:Heart Conduction System / Q000502:physiology*; D006801:Humans; D008297:Male; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis* / Q000601:surgery; D055815:Young Adult