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ACCELERATED
CONDUCTION
Dr. Krishnendu Maity
BHMS [Calcutta] MD (Hom. Repertory)
[Pune]
Associate Professor & HOD I/c, Dept. of
Medicine
Teaching Medicine, Materia & Repertory
Lal Bahadur Shastri Homœopathic Medical
INTRODUCTION
wave).
or just Accessory pathway producing a very broad 'pure' δ -
wave.
People who develop this rhythm and have very short R-R
intervals are at higher risk of VF.
LGL Syndrome
James Accesory Tract / Bundle of James by-pass the upper
part of the AV node. The pre-excitation of the ‘Bundle of
James’ is called LGL Syndrome.
The artrial impulse preferentially passes through the
posterior intra-nodal fibre [Thorel’s fibre / Bundle of
James] and conducted to His Bundle.
Pateints of this syndrome are prone to develop Supra-
ventricular arrhythmias, ventricular tachycardia &
Ventricular fibrillation.
ECG OF LGL Syndrome
Short P-R interval.
Normal QRS complex.
Normal T-wave.
No δ -wave.
LGL SYNDROME WITH
ATRIAL FIBRILLATION