Observations on the Fate of the Accessory Conductor in Wolff-Parkinson-White Syndrome: Report of a Case Demonstrating Return to Normal Conduction Following Acute Illness

Case Reports1 February 1949OBSERVATIONS ON THE FATE OF THE ACCESSORY CONDUCTOR IN WOLFF-PARKINSON-WHITE SYNDROME: REPORT OF A CASE DEMONSTRATING RETURN TO NORMAL CONDUCTION FOLLOWING ACUTE ILLNESSDAVID LITTMANN, M.D.DAVID LITTMANN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-30-2-423 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe electrocardiographic syndrome of Wolff, Parkinson and White7is commonly believed to result from the presence in the heart of an accessory atrioventricular conducting structure similar to the Bundle of Kent of some animals. This serves as a short-circuiting device around the normal A-V system and delivers the impulse prematurely to one ventricle, usually the right. The resulting electrocardiographic pattern is that of bundle branch block with a short P-R interval. The mechanism was first suggested by Holzman and Scherf5and by Wolferth and Wood6; it was duplicated experimentally by Butterworth2and demonstrated histologically by Wood, Wolferth and Geckler8in...Bibliography1. BODLANDER JW: The Wolff-Parkinson-White syndrome in association with congenital heart disease. Coarctation of the aorta, Am. Heart Jr., 1946, xxxi, 785. CrossrefGoogle Scholar2. BUTTERWORTH JS: The experimental production of the syndrome of apparent bundle branch block with short P-R interval, Jr. Clin. Invest., 1941, xx, 458. Google Scholar3. BUTTERWORTH JS: Personal communication. Google Scholar4. LITTMANNTARNOWER DH: Wolff-Parkinson-White syndrome. A clinical study with report of nine cases, Am. Heart Jr., 1946, xxxii, 100. CrossrefGoogle Scholar5. HOLZMANSCHERF MD: Über Elektrocardiogramme mit verkurzter Vorhofkammerdistanz und positiven P-Zacken, Ztschr. f. klin. Med., 1932, cxxi, 404. Google Scholar6. WOLFERTHWOOD CCFC: The mechanism of production of short P-R intervals and prolonged QRS in patients with presumably undamaged hearts; hypothesis of an accessory pathway of auriculoventricular conduction (Bundle of Kent), Am. Heart Jr., 1933, viii, 297. CrossrefGoogle Scholar7. WOLFFPARKINSONWHITE LJPD: Bundle branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia, Am. Heart Jr., 1930, v, 685. CrossrefGoogle Scholar8. WOODWOLFERTHGECKLER FCCCGD: Histologic demonstration of accessory muscular connections between auricles and ventricles in a case of short P-R interval and prolonged QRS complex, Am. Heart Jr., 1943, xxv, 454. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication November 1, 1946.Published with permission of the Chief Medical Director, Department of Medicine and Surgery, Veterans Administration, who assumes no responsibility for the opinions expressed or conclusions drawn by the author.†Chief, Cardiac Service, Veterans Administration Hospital, West Roxbury, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDie Rhythmusstörungen des Herzens (einschließlich der intramuralen Leitungsstörungen und des Alternans)Die Bedeutung des Belastungs-Elektrokardiogramms im Kindesalter unter besonderer Ber�cksichtigung derT-Zacke 1 February 1949Volume 30, Issue 2Page: 423-428KeywordsElectrocardiographyGratitudeHeartSurgery ePublished: 1 December 2008 Issue Published: 1 February 1949 PDF downloadLoading ...