––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.
1 Historical notes and classification of the variants of ventricular preexcitation 1
2 The anatomy of decrementally conducting fibers 7
3 Atriofascicular pathways and decrementally conducting long atrioventricular pathways 15
4 The short AV decrementally conducting fibers 59
5 Nodoventricular and Nodofascicular fibers 75
6 Fasciculoventricular fibers 83
7 Conduction disturbances in accessory pathways 103
8 Automaticity in decrementally conducting fibers 117
9 Differential diagnosis of left bundle branch block–shaped tachycardias 131
A colour plate section faces p. 22
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.