A Fasciculoventricular Accessory Pathway Featuring Functional Decremental Conduction and QRS Variability
Pin Wang1, Yanwei Wang1, Chenglong Miao1
1Department of Cardiology, the Second Hospital of Hebei Medical University, Shijiazhuang Hebei Province, China.
Arrhythmia & Electrophysiology Review
|August 7, 2025
Summary
Fasciculoventricular accessory pathways (FVAPs) can exhibit complex conduction properties, challenging diagnosis. This case highlights functional decremental conduction and varied QRS morphologies in FVAPs, emphasizing careful electrophysiological assessment.
Area of Science:
- Cardiology
- Electrophysiology
- Human Physiology
Background:
- Fasciculoventricular accessory pathways (FVAPs) are increasingly recognized in humans and murine models.
- Most FVAPs are typically electrically silent but can manifest in specific conditions like glycogen storage diseases or during septal pacing.
- FVAPs usually exhibit antegrade, non-decremental conduction properties.
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