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.
Division of Cardiology, University of Basel Hospital, Petersgraben 4, Basel, Switzerland. kuehnem@uhbs.ch
Michael
M
Kühne
Peter
P
Ammann
Beat
B
Schaer
Christian
C
Sticherling
Stefan
S
Osswald
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