TY - JOUR
T1 - Portable Electrocardiographic Monitoring
T2 - Performance in Patients With Short P-R Intervals Without Delta Waves
AU - Monahan, James P.
AU - Denes, Pablo
AU - Rosen, Kenneth M.
PY - 1975/9
Y1 - 1975/9
N2 - Twenty-four-hour continuous portable tape-recorded electrocardiograms were obtained in 24 patients with short P-R intervals without delta waves. Atrial premature beats were noted in 15 patients (62%), paroxysmal supraventricular tachycardia (PSVT) in 5 (21%), ventricular premature beats in 14 (58%), and noticeable ventricular arrhythmia in 5 (21%). All episodes of PSVT reflected either unifocal or multifocal atrial ectopic firing. Atrioventricular nodal reentrant PSVT was not observed. Electrocardiographic correlation of symptoms with arrhythmias was not striking. In 21 of the patients, the P-R interval remained short and constant through the 24-hour recording period. Patients with a short P-R interval without delta waves have frequent arrhythmias involving multiple areas of the conduction system. The presence of an accessory atrioventricular connection (James tract) would not explain the arrhythmias recorded in these patients.
AB - Twenty-four-hour continuous portable tape-recorded electrocardiograms were obtained in 24 patients with short P-R intervals without delta waves. Atrial premature beats were noted in 15 patients (62%), paroxysmal supraventricular tachycardia (PSVT) in 5 (21%), ventricular premature beats in 14 (58%), and noticeable ventricular arrhythmia in 5 (21%). All episodes of PSVT reflected either unifocal or multifocal atrial ectopic firing. Atrioventricular nodal reentrant PSVT was not observed. Electrocardiographic correlation of symptoms with arrhythmias was not striking. In 21 of the patients, the P-R interval remained short and constant through the 24-hour recording period. Patients with a short P-R interval without delta waves have frequent arrhythmias involving multiple areas of the conduction system. The presence of an accessory atrioventricular connection (James tract) would not explain the arrhythmias recorded in these patients.
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U2 - 10.1001/archinte.1975.00330090060006
DO - 10.1001/archinte.1975.00330090060006
M3 - Article
C2 - 51610
AN - SCOPUS:0016550873
SN - 0003-9926
VL - 135
SP - 1188
EP - 1194
JO - Archives of Internal Medicine
JF - Archives of Internal Medicine
IS - 9
ER -