GEORGE KAPLAN; THEODORE D. COHN
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The first record of this abnormality was described by Wilson1 in 1915, who believed it to be vagal effect. Wedd2 reported another such case in 1921 and called it "A-V nodal rhythm." Hamburger3 in 1924 reported four cases of "intraventricular conduction disturbances with unusual clinical features."
Wolff, Parkinson and White4 were the first to recognize this abnormality as a clinical syndrome. The possibility of an accessory pathway producing this picture was first suggested by Holzmann and Scherf.5
Electrocardiographic tracings have the following characteristic pattern:
a. Short PR interval.
b. Prolonged QRS complex with slurring.
c. Usually oppositely directed T waves.
KAPLAN G, COHN TD. SYNDROME OF AURICULOVENTRICULAR ACCESSORY PATHWAY1. Ann Intern Med. ;21:824–829. doi: 10.7326/0003-4819-21-5-824
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Published: Ann Intern Med. 1944;21(5):824-829.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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