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Differential effective refractory period as a useful marker of multiple accessory pathways
Robert H Helm1, Santosh C Varkey2, Ankur A Karnik1
1Electrophysiology and Arrhythmia Service Cardiology Division Department of Medicine Boston University Medical Center Boston Massachusetts.
Accessory pathway ablation failure can occur due to unrecognized multiple pathways. This case highlights two adjacent accessory pathways with distinct patterns and refractory periods, potentially increasing the risk of atrial arrhythmias.
Area of Science:
- Electrophysiology
- Cardiology
- Cardiac Arrhythmias
Background:
- Accessory pathway (AP) ablation is a common treatment for supraventricular tachycardia (SVT).
- Failure to ablate APs can be attributed to unrecognized multiple pathways.
- Multiple accessory pathways are associated with an increased risk of malignant atrial arrhythmias.
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