What is the significance of a concealed bypass tract in patients with Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

Some patients have a concealed bypass tract. Although they have an accessory AV connection, it lacks antegrade conduction; accordingly, these patients do not have the classic abnormalities of the surface ECG. Most commonly, this is established by electrophysiologic study performed for the evaluation or treatment of  SVT.


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