Key result
Spatial vectorcardiography aids detection of underlying myocardial disease in Wolff-Parkinson-White syndrome.
Why the study?
The electrocardiographic diagnosis of myocardial disease in the presence of Wolff-Parkinson-White syndrome is difficult, and the value of spatial vectorcardiogram for diagnosis in this setting was investigated.
Observational
Article1 March 1961ELECTROCARDIOGRAPHIC AND VECTORCARDIOGRAPHIC DETECTION OF HEART DISEASE IN THE PRESENCE OF THE PRE-EXCITATION SYNDROME (WOLFF-PARKINSON-WHITE SYNDROME)GEORGE E. BURCH, M.D., N. P. DEPASQUALE, M.D.GEORGE E. BURCH, M.D.Search for more papers by this author, N. P. DEPASQUALE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-3-387 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is well known that the electrocardiographic diagnosis of myocardial disease, particularly of myocardial infarction, in the presence of left bundle branch block (LBBB) is difficult. However, it has been shown recently that the spatial vectorcardiogram (sVCG) can be useful in the diagnosis of myocardial disease in the presence of LBBB.1, 2Many investigators have considered the electrocardiographic diagnosis of myocardial disease difficult in the presence of the pre-excitation syndrome (Wolff-Parkinson-White syndrome) for essentially the same reasons as in LBBB.3, 4, 5Because of the diagnostic possibilities of the sVCG in LBBB, it was decided to investigate the value of...Bibliography1. BurchDePasquale GENP: The spatial vectorcardiogram and ventricular gradient in left bundle branch block with autopsy studies. Moscow, 1959. Published in special issue by Academy of Medical Sciences, U.S.S.R., honoring Prof. Alexandre Mjasnikov. Google Scholar2. DePasqualeBurch NPGE: The spatial vectorcardiogram in left bundle branch block and myocardial infarction with autopsy studies. Amer. J. Med. 29: 633, 1960. CrossrefMedlineGoogle Scholar3. BleiferKahnGrishmanDonoso SMAE: Wolff-Parkinson-White syndrome: a vectorcardiographic, electrocardiographic, and clinical study. Amer. J. Cardiol. 4: 321, 1959. CrossrefMedlineGoogle Scholar4. WolffRichman LJL: The diagnosis of myocardial infarction in patients with anomalous atrioventricular excitation (Wolff-Parkinson-White syndrome). Amer. Heart J. 45: 545, 1953. CrossrefMedlineGoogle Scholar5. RinzlerTravell SHJ: Electrocardiographic diagnosis of acute myocardial infarction in presence of Wolff-Parkinson-White syndrome. Amer. J. Med. 3: 106, 1947. CrossrefMedlineGoogle Scholar6. ConwayCronvichBurch JPJAGE: Observations on the spatial vectorcardiogram in man. Amer. Heart J. 38: 537, 1949. CrossrefMedlineGoogle Scholar7. DePasqualeBurch NPGE: A study of the ventricular gradient in normal infants and children. Amer. J. Cardiol. 5: 464, 1960. CrossrefMedlineGoogle Scholar8. Ashman R: A statistical study of the ventricular gradient and of the QRS complex of the electrocardiogram. Arch. Inst. Cardiol. México 15: 266, 1945. Google Scholar9. BurchKimball GEJL: Notes on the similarity of QRS complex configurations in the Wolff-Parkinson-White syndrome. Amer. Heart J. 32: 560, 1946. CrossrefMedlineGoogle Scholar10. KimballBurch JLGE: The prognosis of the Wolff-Parkinson-White syndrome. Ann. Intern. Med. 27: 239, 1947. LinkGoogle Scholar11. BerkunKesselmanDonosoGrishman MARHEA: Spacial ventricular gradient: intermittent Wolff-Parkinson-White syndrome, intermittent left bundle branch block and ventricular premature contractions. Circulation 13: 562, 1956. CrossrefMedlineGoogle Scholar12. WolffParkinsonWhite LJPD: Bundle branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. Amer. Heart J. 5: 685, 1930. CrossrefGoogle Scholar13. WolferthWood CCFC: The mechanism of production of short P-R intervals and prolonged QRS complexes in patients with presumably undamaged hearts; hypothesis of an accessory pathway of auriculoventricular conduction (bundle of Kent). Amer. Heart J. 8: 297, 1933. CrossrefGoogle Scholar14. ButterworthPoindexter JSCA: Short P-R interval associated with a prolonged QRS complex. Arch. Intern. Med. 69: 437, 1942. CrossrefGoogle Scholar15. KistinRobb ADGP: Modification of electrocardiogram of myocardial infarction by anomalous atrioventricular excitation (Wolff-Parkinson-White syndrome); report of case. Amer. Heart J. 37: 249, 1949. CrossrefMedlineGoogle Scholar16. GrishmanKroopSteinberg AIGMF: The course of the excitation wave in patients with electrocardiograms showing short P-R intervals and wide QRS complexes (Wolff-Parkinson-White syndrome). Amer. Heart J. 40: 554, 1950. CrossrefMedlineGoogle Scholar17. WoodWolferthGeckeler FCCCGD: Histologic demonstration of accessory muscular connections between auricle and ventricle in case of short P-R interval and prolonged QRS complex. Amer. Heart J. 25: 454, 1943. CrossrefGoogle Scholar18. LevGibsonMiller MSRA: Ebstein's disease with Wolff-Parkinson-White syndrome; report of case with histopathologic study of possible conduction pathways. Amer. Heart J. 49: 724, 1955. CrossrefMedlineGoogle Scholar19. SegersSanabriaLequimeDenolin MTJH: Le syndrome de Wolff-Parkinson-White; mise en evidence d'une connexion A-V septale directe. Acta cardiol. 2: 21, 1947. Google Scholar20. BurchHoranCronvich GELGJA: An electrocardiographic and spatial vectorcardiographic pattern associated with diffuse myocardial damage and ventricular aneurysm. Amer. Heart J. 57: 762, 1959. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New Orleans, La.*Received for publication Sept. 19, 1960.From the Department of Medicine, Tulane University School of Medicine, and the Charity Hospital of Louisiana in New Orleans.†This work was supported by grants from the U. S. Public Health Service and the Thibodeaux Research Foundation.Requests for reprints should be addressed to George E. Burch, M.D., Department of Medicine, Tulane University School of Medicine, 1430 Tulane Ave., New Orleans 12, Louisiana. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBigeminal rhythm, vectorcardiographic patterns in coronary artery diseaseDas Vektorkardiogramm bei Störungen der ErregungsausbreitungArrhythmias in the Wolff-Parkinson-White syndromeThe simultaneous occurrence of ventricular pre-excitation, left bundle branch block, and delayed A-V conductionREFERENCESVectorcardiographic Analysis of Left Axis Deviation, in the Differentiation of Diaphragmatic Infarction and Parietal Block *Wolff-Parkinson-White syndromeTHE ASSOCIATION OF TYPE B VENTRICULAR PRE-EXCITATION AND RIGHT BUNDLE-BRANCH BLOCKInterpolation of atrial premature beats of infra-atrial origin due to concealed A-S conductionThe spatial vectorcardiogram as a supplement to the electrocardiogram in the diagnosis of myocardial infarctionThe electrocardiogram and vectorcardiogram in Wolff-Parkinson-White syndrome associated with bundle branch block 1 March 1961Volume 54, Issue 3Page: 387-404KeywordsCardiovascular therapyElectrocardiographyHospital medicineLeft bundle branch blockMedical servicesMyocardial infarction ePublished: 1 December 2008 Issue Published: 1 March 1961 PDF downloadLoading ...
No takes yet. Share an insight, caveat, or question.
BURCH et al. (1961) conducted an observational in Wolff-Parkinson-White syndrome. Spatial vectorcardiogram (sVCG) was evaluated on Diagnosis of myocardial disease. The diagnostic value of the spatial vectorcardiogram for detecting myocardial disease in the presence of Wolff-Parkinson-White syndrome was investigated.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: