
doi: 10.1007/bf01489476
pmid: 926714
Electrophysiological studies were performed in a patient with a short P-R interval and a small delta wave. The findings suggest that ventricular pre-excitation resulted from an infranodal bypass (Mahaim type). As the functional properties of the pathway were evaluated, impaired conductivity (suggested by rather long refractory periods) became apparent at frequency stress. The pathway could easily be blocked by Ajmaline. This demonstrated an unexpected early diastolic improvement in conductivity; i.e. a supernormal phase of conduction. Due to this supernormal phase, Mahaim-fiber conduction was present when block in the anterior division of the left bundle branch, or even trifascicular block occurred. Thus the effects of exclusive Mahaim-fiber conduction on ventricular activation were documented.
Adult, Ajmaline, Bundle of His, Electrocardiography, Heart Conduction System, Atrioventricular Node, Humans, Arrhythmias, Cardiac, Female
Adult, Ajmaline, Bundle of His, Electrocardiography, Heart Conduction System, Atrioventricular Node, Humans, Arrhythmias, Cardiac, Female
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