Electrophysiological Recognition Of An Atrio-ventricular Mahaim Fibre Pathway.James P Higham*
University of Bristol Medical School, Bristol, England, UK
- *Corresponding Author:
- James P Higham
Medical student, University of Bristol Medical School
Bristol, England, UK
Tel: +44 7852864768
Fax: +44 7852864768
E-mail: [email protected]
Received date: July 20, 2016; Accepted date: September 12, 2016; Published date: September 15, 2016
Citation: Higham JP (2016) Electrophysiological Recognition of an Atrio-ventricular Mahaim Fibre Pathway. Arrhythm Open Access 1:118.
Copyright: © 2016 Higham JP. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Mahaim fibres are cardiac accessory bundles which can cause dangerous tachyarrhythmias. Despite their first description being many y ears ago, their recognition and diagnosis still proves difficult. The electrocardiographic features of Mahaim pathways are subtle and shared with other accessory pathways; as such, an electrophysiology study must be used to diagnose this pathway. Even then, it is often a process of elimination which leads to the eventual diagnosis. Here, I will present the case of a young woman with a peculiar history who was ultimately diagnosed with a Mahaim fibre pathway. Using this case, I will describe the key electrophysiological features and the treatment of the Mahaim fibre pathway.