Secondary r' wave in V(1) as a sign of left-sided antegrade accessory pathway conduction

Hoong Sern Lim; Dennis Kuchar; Rajesh Subbiah; Bruce Walker

doi:10.1111/j.1542-474X.2011.00455.x

Secondary r' wave in V(1) as a sign of left-sided antegrade accessory pathway conduction

Ann Noninvasive Electrocardiol. 2011 Oct;16(4):407-8. doi: 10.1111/j.1542-474X.2011.00455.x.

Authors

Hoong Sern Lim¹, Dennis Kuchar, Rajesh Subbiah, Bruce Walker

Affiliation

¹ University of Birmingham, and Queen Elizabeth Hospital Birmingham NHS Trust, Edgbaston, Birmingham, UK. [email protected]

Abstract

A secondary r' wave in V(1) on surface electrocardiogram (ECG) has been described in association with left ventricular preexcitation via an accessory pathway. We present a case that demonstrates the mechanism for this ECG observation.

Publication types

Case Reports

MeSH terms

Electrocardiography*
Electrophysiologic Techniques, Cardiac
Heart Conduction System / abnormalities*
Heart Conduction System / physiopathology*
Humans
Male
Middle Aged
Pre-Excitation Syndromes / physiopathology*