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Variants of Ventricular Preexcitation: Recognition and Treatment

ISBN: 978-0-470-99498-6
168 pages
April 2008, Wiley-Blackwell
Variants of Ventricular Preexcitation: Recognition and Treatment (0470994983) cover image
Variants of Ventricular Preexcitation: Recognition and Treatment provides a unique opportunity for general cardiologists and electrophysiologists to find in one text the intricacies of recognizing and treating a group of disorders that has intrigued physicians for more than 100 years.”

--from the Foreword by Mark E. Josephson, MD, Chief, Cardiovascular Division, Beth Israel Deaconess Medical Center, Boston, USA

Drs Sternick and Wellens combine their expertise in the diagnosis and treatment of cardiac arrhythmias to bring you this complete overview of decrementally conducting accessory pathways and their role in cardiac arrhythmias.

This is the first book dedicated to these special types of accessory pathways, their recognition and management. By covering the uncommon varieties of ventricular preexcitation, this book supports you in improving patient care by:

  • Helping you to identify decrementally conducting AV fibers- which comprise 3-5 % of all accessory AV pathways
  • Explaining exactly what information can be obtained from the 12-lead ECG
  • Showing how to identify and localize these pathways during an electrophysiologic study
  • Detailing the proper treatment and how to treat these patients

By explaining the fundamental pathophysiology as well as the diverse clinical presentation of arrhythmias, Drs Sternick and Wellens demystify the subject of the different variants of decrementally conducting accessory pathways leading to ventricular pre-excitation and their role in cardiac arrhythmias.

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1 Historical Notes and Classification of the Variants of Ventricular Preexcitation.

2 The Anatomy of Decrementally Conducting Fibers.

3 Atriofascicular Pathways and Decrementally Conducting Long Atrioventricular Pathways.

4 The short AV Decrementally Conducting Fibers.

5 Nodoventricular and Nodofascicular Fibers.

6 Fasciculoventricular Fibers.

7 Conduction Disturbances in Accessory Pathways.

8 Automaticity in Decrementally Conducting Fibers.

9 Differential Diagnosis of Left Bundle Branch Block-shaped Tachycardias.


A Colour Plate Section.

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EDUARDO BACK STERNICK is Director of the Cardiac Electrophysiology Laboratory, Biocor Instituto, Santa Casa, Belo Horizonte, Brazil. He authored many publications on Mahaim fibers which appeared in the leading cardiology journals. He obtained a PhD in cardiac electrophysiology at Maastricht University in 2004.

HEIN J WELLENS, Professor of Cardiology, University of Maastricht, the Netherlands, has been in the forefront of modern cardiac arrhythmology for close to 40 years. He wrote or co-authored over 540 peer reviewed articles, 246 chapters in books and was author or (co)editor of 17 books on cardiology.

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An up-to-date review of Mahaim Fibers that connect the cardiac conduction system and cause arrhythmias

  • Shows the ECG and electrophysiologic characteristics of Mahaim fibers
  • Shows how to manage arrhythmias in patients with these fibers
  • The authors are known worldwide for their expertise in the diagnosis and treatment of cardiac arrhythmias
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