SHORT P-R INTERVAL, PROLONGED QRS COMPLEX (WOLFF, PARKINSON, WHITE SYNDROME). REPORT OF FOURTEEN CASES AND A REVIEW OF THE LITERATURE
Authors: Isidore Stein
Journal: Annals of Internal Medicine (1946)

Article1 January 1946SHORT P-R INTERVAL, PROLONGED QRS COMPLEX (WOLFF, PARKINSON, WHITE SYNDROME). REPORT OF FOURTEEN CASES AND A REVIEW OF THE LITERATUREISIDORE STEINISIDORE STEINSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-24-1-60 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1930 Wolff, White and Parkinson1 described a series of cases which showed an electrocardiographic picture of bundle branch block and a short P-R interval. This syndrome has since come to bear their names. It is characterized by attacks of paroxysmal tachycardia and carries only the danger attendant upon this phenomenon. The interim tracing shows a short P-R interval and prolonged QRS complex. It is considered essentially benign and these authors attribute these findings to vagal action. If this is removed by means of exercise or atropinization, the electrocardiogram is restored to normal.Wolferth and Wood2and Holzmann and Scherf3...Bibliography1. WOLFFWHITEPARKINSON LPDJ: Bundle branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia, Am. Heart Jr., 1930, v, 685. CrossrefGoogle Scholar2. WOLFERTHWOOD CCFC: The mechanism of production of short P-R intervals and prolonged QRS complexes in patients with presumably undamaged hearts: hypothesis of an accessory pathway of A-V conduction (Bundle of Kent), Am. Heart Jr., 1933, viii, 297. CrossrefGoogle Scholar3. HOLZMANNSCHERF MD: Ueber Elektrokardiogramme mit verkürzte Vorhof-Kammer-Distanz und positiven P-Zacken, Ztschr. f. klin. Med., 1932, cxxi, 404. Google Scholar4. KENT AF: Some problems in cardiac physiology, Brit. Med. Jr., 1914, ii, 105. CrossrefGoogle Scholar5. BUTTERWORTHPOINDEXTER JSCA: Short P-R interval associated with a prolonged QRS complex: a clinical and experimental study, Arch. Int. Med., 1942, lxix, 437. CrossrefGoogle Scholar6. WOODWOLFERTHGECKELER FCCCGD: Histologic demonstration of accessory muscular connections between auricle and ventricle in a case of short P-R interval and prolonged QRS complex, Am. Heart Jr., 1943, xxv, 454. CrossrefGoogle Scholar7. CLAGGETT H: Short P-R interval with prolonged QRS complex: allergic manifestations and unusual electrocardiographic abnormalities, Am. Heart Jr., 1943, xxvi, 55. CrossrefGoogle Scholar8. FOXBOBB TTAL: On the mechanism of the electrocardiographic syndrome of short P-R interval with prolonged QRS complex, Am. Heart Jr., 1944, xxviii, 311. CrossrefGoogle Scholar9. BISHOP LF: Bundle branch block with short P-R interval in individuals without organic heart disease, Am. Jr. Med. Sci., 1937, cxciv, 794. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication April 25, 1945.From ASF Regional Hospital, Fort Ord, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAtrioventricular valve development: New perspectives on an old themeArrhythmias in the Wolff-Parkinson-White syndromeElectrocardiographic findings in 67,375 asymptomatic subjectsDie Rhythmusstörungen des Herzens (einschließlich der intramuralen Leitungsstörungen und des Alternans)Myocardial infarction in Wolff-Parkinson-White syndromeThe effect of atropine on the cardiac mechanism in anomalous atrioventricular conduction 1 January 1946Volume 24, Issue 1Page: 60-71KeywordsElectrocardiographyExerciseTachycardia ePublished: 1 December 2008 Issue Published: 1 January 1946 PDF downloadLoading ...