DAVID LITTMANN, M.D.
The electrocardiographic syndrome of Wolff, Parkinson and White7 is commonly believed to result from the presence in the heart of an accessory atrioventricular conducting structure similar to the Bundle of Kent of some animals. This serves as a short-circuiting device around the normal A-V system and delivers the impulse prematurely to one ventricle, usually the right. The resulting electrocardiographic pattern is that of bundle branch block with a short P-R interval. The mechanism was first suggested by Holzman and Scherf5 and by Wolferth and Wood6; it was duplicated experimentally by Butterworth2 and demonstrated histologically by Wood, Wolferth and Geckler8 in
LITTMANN D. OBSERVATIONS ON THE FATE OF THE ACCESSORY CONDUCTOR IN WOLFF-PARKINSON-WHITE SYNDROME: REPORT OF A CASE DEMONSTRATING RETURN TO NORMAL CONDUCTION FOLLOWING ACUTE ILLNESS1. Ann Intern Med. ;30:423–428. doi: 10.7326/0003-4819-30-2-423
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Published: Ann Intern Med. 1949;30(2):423-428.
Cardiology, Rhythm Disorders and Devices.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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