By D. Durrer, L. Schoo, R. M. Schuilenburg, H. J. J. Wellens (auth.), J. L. R. M. Smeets, P. A. Doevendans, M. E. Josephson, Ch. Kirchhof, M. A. Vos (eds.)
The first invasive review of cardiac arrhythmias in people was once played in 1967 in Paris (Prof. P. Coumel) and Amsterdam (Prof. D. Durrer). This used to be the beginning of a swift elevate in our wisdom of the analysis, mechanism and therapy of cardiac arrhythmias. In that very same yr Prof. Hein J.J. Wellens turned heart specialist within the Wilhelmina Gasthuis in Amsterdam. firstly in Amsterdam (1967-1977) and in a while in Maastricht (from 1977), he used to be the driver for plenty of breakthroughs in medical cardiac electrophysiology. With an lively interaction among the information derived from the 12-lead electrocardiogram and the recordings made with invasive electrophysiology, he composed new rules resulting in significant contributions in medical cardiac electrophysiology and, extra ordinarily, in arrhythmology. He released over 650 medical papers and 14 books, and had various services inside medical forums of prestigious journals. moreover he proficient greater than one hundred twenty cardiologists in scientific cardiac electrophysiology.
at the party of the congress `2000, way forward for Arrhythmology: classes From the previous, provides For Tomorrow', we spotlight the clinical paintings of Prof. Hein J.J. Wellens. a range of greater than 60 articles over the total time span has been chosen. those articles are observed through reviews from knowledgeable, co-worker and/or former fellow so as to position the paper in a systematic time-frame, together with the connection of the writer with Prof. Hein J.J. Wellens.
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Extra resources for Professor Hein J.J. Wellens: 33 Years of Cardiology and Arrhythmology
Circulation 35: IS, 1967. Burchell HB, Frye RL, Anderson MW, et al: Atrioventricular and ventriculo-atrial excitation in Wolff-Parkinson-White syndrome (type B). Circulation 36: 663, 1967. Cobb FR, Blumenschein SD, Sealy WC, et al: Successful surgical interruption of the bundle of Kent in a patient with Wolff-Parkinson-White syndrome. Circulation 38: 1018, 1968. Boineau JP, Moore EN: Evidence for propagation of activation across an accessory atrioventricular connection in types A and B pre-excitation.
If the correct stimulus frequency is chosen, the sequence can be continued indefinitely, all QRS complexes showing the same aberrant conduction. Initiation and continuation of this type of aberrant conduction depends upon: (I) a correct delay between the last complex of the regular driven rhythm and the first premature stimulus, in order to have this stimulus arrive at the bundle branches, when one of them is still refractory; and (2) an appropriate interval between the following stimuli, which have to reach the bundle branch exactly at the time, when it is made refractory by retrograde invasion from the foregoing impulse.
The only specific mechanism, inducing ventricular tachycardia unique for the WPW syndrome that we can conjecture at this moment, is a circus movement in the reverse direction compared with the one present in SVT. Basically this is a supraventricular type of tachycardia with exclusive an- tigrade anomalous A-V conduction and retrograde His conduction. The diagnostic criteria then would be regular broad ventricular complexes of about the same rate as the rate during SVT, with pre-excitation configuration and I: I atrioventricular nodal P waves.