Preexcitation Flashcards
What is preexcitation?
Electrical current is conducted to the ventricles more quickly than usual
Normally how long is the delay of depolarization at the AV node?
0.1 second
How does preexcitation conduct more quickly?
Accessory pathways where the current bypasses the AV node and arrives at ventricles faster
What is the accessory pathway of WPW?
bundle of Kent
PR intervals less than .12 seconds and a slurred upstroke in a wide QRS is characteristic of
WPW
What is a small area depolarized early that gives the QRS a slurred initial uptake?
Delta wave
True of False:
Delta waves will be seen in all leads in WPW
False
- seen in some, scan all leads
What is the accessory pathway of LGL?
James Fiber
-intranodal
A short PR interval with normal QRS is characteristic of
LGL
Why do we care about LGL or WPW?
Many pts do just fine
Predisposed to tachyarrhythmias