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Accelerated atrioventricular conduction

MedGen UID:
120508
•Concept ID:
C0264897
•
Pathologic Function
Synonyms: Accessory Atrioventricular Bundle; Accessory Atrioventricular Bundles; Accessory Atrioventricular Pathway; Accessory Atrioventricular Pathways; Accessory Conducting Pathway; Accessory Conducting Pathways; Atrioventricular Bundle, Accessory; Atrioventricular Bundles, Accessory; Atrioventricular Pathway, Accessory; Atrioventricular Pathways, Accessory; Bundle of Kent; Bundle, Accessory Atrioventricular; Bundle, Kent; Bundles, Accessory Atrioventricular; Conducting Pathway, Accessory; Conducting Pathways, Accessory; Kent Bundle; Pathway, Accessory Atrioventricular; Pathway, Accessory Conducting; Pathways, Accessory Atrioventricular; Pathways, Accessory Conducting
SNOMED CT: Accelerated atrioventricular conduction (16797001); Preexcitation syndrome (16797001); Pre-excitation atrioventricular conduction (16797001); Accessory atrioventricular conduction (16797001)
 
OMIM®: 194200

Definition

Extra impulse-conducting tissue in the heart that creates abnormal impulse-conducting connections between HEART ATRIA and HEART VENTRICLES. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAccelerated atrioventricular conduction

Professional guidelines

PubMed

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NAM 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM
J Am Coll Cardiol 2016 Apr 5;67(13):e27-e115. Epub 2015 Sep 24 doi: 10.1016/j.jacc.2015.08.856. PMID: 26409259
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e506-74. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000311. PMID: 26399663
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e471-505. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000310. PMID: 26399662

Recent clinical studies

Etiology

Smoking Accelerates Atrioventricular Conduction in Humans Concordant with Increased Dopamine Release.
Irfan AB, Arab C, DeFilippis AP, Lorkiewicz P, Keith RJ, Xie Z, Bhatnagar A, Carll AP
Cardiovasc Toxicol 2021 Feb;21(2):169-178. Epub 2020 Oct 12 doi: 10.1007/s12012-020-09610-5. PMID: 33043409Free PMC Article
Prevention of sudden cardiac death in the young and in athletes: dream or reality?
Thiene G, Carturan E, Corrado D, Basso C
Cardiovasc Pathol 2010 Jul-Aug;19(4):207-17. Epub 2009 Jun 16 doi: 10.1016/j.carpath.2009.04.001. PMID: 19535269
Prolonged rate-corrected QT interval and other electrocardiogram abnormalities in girls with Turner syndrome.
Bondy CA, Ceniceros I, Van PL, Bakalov VK, Rosing DR
Pediatrics 2006 Oct;118(4):e1220-5. doi: 10.1542/peds.2006-0776. PMID: 17015510

Diagnosis

Early repolarization associated with accelerated atrioventricular conduction (short PR interval) and incomplete right bundle branch block: postulated mechanisms.
Madias JE
J Electrocardiol 2008 Jan-Feb;41(1):35.e1-7. Epub 2007 Jul 13 doi: 10.1016/j.jelectrocard.2007.05.017. PMID: 17631893
Atrial fibrillation and flutter with left bundle branch block aberration referred as ventricular tachycardia.
Trohman RG, Kessler KM, Williams D, Maloney JD
Cleve Clin J Med 1991 Jul-Aug;58(4):325-30. doi: 10.3949/ccjm.58.4.325. PMID: 1889115
Significance of QRS transition zone to the right on the chest in cases with short P-R interval.
Mihaela T, Marilena A, Lidia S, Val I
Physiologie 1984 Apr-Jun;21(2):89-92. PMID: 6234605
Accelerated atrioventricular conduction appearing during acute myocardial infarction.
Abinader EG, Shahar J
Chest 1980 May;77(5):632-5. doi: 10.1378/chest.77.5.632. PMID: 7363681
Accelerated atrioventricular conduction during acute myocardial infarction.
Gavrilescu S, Gavrilescu M, Luca C
Am Heart J 1977 Jul;94(1):21-7. doi: 10.1016/s0002-8703(77)80339-6. PMID: 868738

Therapy

Smoking Accelerates Atrioventricular Conduction in Humans Concordant with Increased Dopamine Release.
Irfan AB, Arab C, DeFilippis AP, Lorkiewicz P, Keith RJ, Xie Z, Bhatnagar A, Carll AP
Cardiovasc Toxicol 2021 Feb;21(2):169-178. Epub 2020 Oct 12 doi: 10.1007/s12012-020-09610-5. PMID: 33043409Free PMC Article

Prognosis

Atrial fibrillation and flutter with left bundle branch block aberration referred as ventricular tachycardia.
Trohman RG, Kessler KM, Williams D, Maloney JD
Cleve Clin J Med 1991 Jul-Aug;58(4):325-30. doi: 10.3949/ccjm.58.4.325. PMID: 1889115
Accelerated atrioventricular conduction during acute myocardial infarction.
Gavrilescu S, Gavrilescu M, Luca C
Am Heart J 1977 Jul;94(1):21-7. doi: 10.1016/s0002-8703(77)80339-6. PMID: 868738

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