A delta wave in a healthy Swiss conscript: one does not always have to burn to learn

Publication

A delta wave in a healthy Swiss conscript: one does not always have to burn to learn

Journal Paper/Review - Oct 1, 2010

Kühne Michael, Ammann Peter, Schaer Beat, Sticherling Christian, Osswald Stefan

Citation

Kühne M, Ammann P, Schaer B, Sticherling C, Osswald S. A delta wave in a healthy Swiss conscript: one does not always have to burn to learn. Pacing Clin Electrophysiol 2010; 33:e93-5.

Type

Journal Paper/Review (English)

Journal

Pacing Clin Electrophysiol 2010; 33

Publication Date

Oct 1, 2010

Issn Electronic

1540-8159

Pages

e93-5

Brief description/objective

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.