Dual atrioventricular nodal pathways: A benign finding in arrhythmia-free children with heart disease

Alfonso Casta; Grace S. Wolff; Ashok V. Mehta; Dolores Tamer; Otto L. Garcia; Arthur S. Pickoff; Pedro L. Ferrer; Ruey J. Sung; Henry Gelband

doi:10.1016/0002-9149(80)90360-4

Dual atrioventricular nodal pathways: A benign finding in arrhythmia-free children with heart disease

Alfonso Casta, Grace S. Wolff, Ashok V. Mehta, Dolores Tamer, Otto L. Garcia, Arthur S. Pickoff, Pedro L. Ferrer, Ruey J. Sung, Henry Gelband

Pediatrics

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52 Scopus citations

Abstract

The incidence and significance of dual atrioventricular (A-V) nodal pathways are described in 78 children with associated congenital or acquired heart disease. None of these patients had clinical or electrocardiographic evidence of arrhythmia. Dual A-V nodal pathways were observed in 35 percent of the preoperative group and in 33 percent of the postoperative group. Despite this substrate for A-V nodal reentry, supraventricular tachycardia was neither induced during electrophysiologic evaluation nor did it develop clinically over a follow-up period of 1 month to 15 years. It is concluded that dual A-V nodal pathways are common and may be a benign finding in arrhythmia-free children with heart disease.

Original language	English (US)
Pages (from-to)	1013-1018
Number of pages	6
Journal	The American Journal of Cardiology
Volume	46
Issue number	6
DOIs	https://doi.org/10.1016/0002-9149(80)90360-4
State	Published - Dec 1 1980

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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Casta, A., Wolff, G. S., Mehta, A. V., Tamer, D., Garcia, O. L., Pickoff, A. S., Ferrer, P. L., Sung, R. J., & Gelband, H. (1980). Dual atrioventricular nodal pathways: A benign finding in arrhythmia-free children with heart disease. The American Journal of Cardiology, 46(6), 1013-1018. https://doi.org/10.1016/0002-9149(80)90360-4

Dual atrioventricular nodal pathways : A benign finding in arrhythmia-free children with heart disease. / Casta, Alfonso; Wolff, Grace S.; Mehta, Ashok V.; Tamer, Dolores; Garcia, Otto L.; Pickoff, Arthur S.; Ferrer, Pedro L.; Sung, Ruey J.; Gelband, Henry.

In: The American Journal of Cardiology, Vol. 46, No. 6, 01.12.1980, p. 1013-1018.

Research output: Contribution to journal › Article

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abstract = "The incidence and significance of dual atrioventricular (A-V) nodal pathways are described in 78 children with associated congenital or acquired heart disease. None of these patients had clinical or electrocardiographic evidence of arrhythmia. Dual A-V nodal pathways were observed in 35 percent of the preoperative group and in 33 percent of the postoperative group. Despite this substrate for A-V nodal reentry, supraventricular tachycardia was neither induced during electrophysiologic evaluation nor did it develop clinically over a follow-up period of 1 month to 15 years. It is concluded that dual A-V nodal pathways are common and may be a benign finding in arrhythmia-free children with heart disease.",

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