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🧵 on the Algorithmic Localisation of Accessory Pathways from ECG

A concept I’m getting to grips with made easier by a beautiful review by #Crinion & @adribaran in Card Electrophysiol Clinic (PMID 33161996)

#EPeeps #MedEd #Cardiology
🫀Considerations of AP localising algorithms:

A. Only apply to manifest antegrade AP & not concealed AP which conduct retrograde

B. Algorithms focused on atrioventricular AP & not other rarer AP

C. Depend on the degree of preexcitation with

D. Cautions with multiple APs
🩻 Anatomic Nomenclature

- AP locations is described in the LAO view
- Older algorithms use anatomical descriptions derived from the Valentine heart position & not attitudinally correct nomenclature which can be confusing
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