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A delta wave in a healthy Swiss conscript: one does not always have to burn to learn
Michael Kühne1, Peter Ammann, Beat Schaer
1Division of Cardiology, University of Basel Hospital, Petersgraben 4, Basel, Switzerland. kuehnem@uhbs.ch
Abstract:
We present a case of a conscript who was referred for ablation of asymptomatic Wolff-Parkinson-White syndrome. However, the electrophysiologic study revealed the presence of an accessory pathway arising infranodally in the His-Purkinje system, and inserting into the nearby ventricle. The case emphasizes the limitations of the surface ECG and the importance of a thorough electrophysiologic study. Our patient required no specific therapy but correction of the diagnosis before being declared fit for military service. A second interesting finding not described before with this type of pathway was the occurrence of transient mechanical interruption of accessory pathway conduction.
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