Abstract:
:Eight sets of electrocardiographic (ECG) criteria for the localization of accessory conduction pathway (ACP) were evaluated on 182 patients with a single ACP. The Rosenbaum criteria identified 78.6% of the left-sided and 94.0% of the right-sided ACPs. Four of the other seven sets of criteria demonstrated a sensitivity higher than 70.9% and six showed a specificity higher than 74.9% in the 4-region ACP localization. The ECG feature of the delta wave polarity in lead V1 correctly localized the ACP to one of three broad regions in 162 of 182 patients with an overall specificity of 94.5%. The study indicates that (1) the 12-lead ECG is of practical value for initial ACP localization; (2) a type A ECG is almost invariably associated with a left-sided ACP, while type B may occur with any ACP location; (3) the polarity of the delta wave is the most important ECG feature, and the polarities of the delta wave and main QRS complex in lead V1 play an important role in ACP localization.
journal_name
J Electrocardioljournal_title
Journal of electrocardiologyauthors
Yuan S,Iwa T,Tsubota M,Bando Hdoi
10.1016/0022-0736(92)90005-kkeywords:
subject
Has Abstractpub_date
1992-07-01 00:00:00pages
203-14issue
3eissn
0022-0736issn
1532-8430journal_volume
25pub_type
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journal_title:Journal of electrocardiology
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journal_title:Journal of electrocardiology
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
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journal_title:Journal of electrocardiology
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journal_title:Journal of electrocardiology
pub_type: 杂志文章,评审
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更新日期:1996-01-01 00:00:00
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journal_title:Journal of electrocardiology
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
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更新日期:1996-07-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
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更新日期:2016-05-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章,评审
doi:10.1016/j.jelectrocard.2019.07.014
更新日期:2019-01-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章,随机对照试验
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更新日期:2011-01-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2004.04.008
更新日期:2004-07-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/s0022-0736(86)80017-6
更新日期:1986-04-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/s0022-0736(87)80015-8
更新日期:1987-07-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2012.07.010
更新日期:2012-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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journal_title:Journal of electrocardiology
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2008.07.022
更新日期:2008-11-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
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更新日期:2000-10-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2016.07.021
更新日期:2016-01-01 00:00:00
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journal_title:Journal of electrocardiology
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