This report documents the use of right ventricular stimulation in the termination of a rapid junctional tachycardia. The tachyeardia developed in the background setting of heart block and bradycardia. Right ventricular stimulation was effective at 94/min, a rate considerably slower than that of the tachycardia. Analysis of pacemaker stimuli during the tachycardia defined ventricular refractory ...

Ebstein's anomaly with coarctation of the aorta is an extremely unusual condition. In this report, the clinical and surgical features of 3 male patients, aged 7 months, 4 years and 14 years, are discussed. All patients were in situs solitus. The first 2 patients had atrioventricular and ventriculoarterial discordance and progressed to heart failure in the neonatal period. The third had atrioven...

This report documents the use of right ventricular stimulation in the termination of a rapid junctional tachycardia. The tachyeardia developed in the background setting of heart block and bradycardia. Right ventricular stimulation was effective at 94/min, a rate considerably slower than that of the tachycardia. Analysis of pacemaker stimuli during the tachycardia defined ventricular refractory ...

In six successive patients, none of whom had the Wolf-Parkinson-White syndrome, recurrent episodes of paroxysmal supraventricular tachycardia (SVT) were analyzed to determine the mechanism by which this arrhythmia is initiated and sustained. In each patient, simultaneous intracavitary atrial electrograms and surface electrocardiograms were recorded during the onset of numerous spontaneous episo...

Each year in the United States there are ~450,00 deaths from myocardial infarction (MI) [1] (with 310,000of these deaths occurring before the patient reaches the hospital) as a result of a non-perfusing arrhythmia, principally ventricular fibrillation.[2] This mode of sudden cardiac arrest (SCA) is also responsible for the majority of the 190,000 in-hospital deaths from MI, which typically occu...

Among patients with a Wolff–Parkinson–White (WPW) syndrome, approximately half will experience arrhythmia during their lifetime. Radiofrequency catheter ablation of the accessory atrioventricular pathway is the treatment of choice for this condition and is associated with a high success rate. Electrophysiology study is indeed the key procedure for identifying the target of radiofrequency ablati...

OBJECTIVE Ebstein's anomaly is the most common pathology associated with the accessory conduction pathways. METHODS From January 1990 to August 1999 48 patients underwent surgical repair of Ebstein's anomaly by various plastic techniques. The pathways were identified and characterized at preoperative electrophysiologic mapping in 17 (34.5%) patients. There were seven males and ten females. Th...