Discrimination of Right Versus Left Septal Accessory Pathway Before and During the Electrophysiological Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorAssiut University

About this trial

Study of ECG and electrophysiological criteria which discriminate right versus left septal AP (both posteroseptal and anteroseptal AP). Both manifest and concealed APs will be considered .

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All patients with suggested septal AP (both manifest and concealed AP) undergoing electrophysiological study and ablation in EP cath lab in cardiology department, Assiut University Heart hospital.

Disqualifiers

Patients with redo AP or failed ablation.

Patients with more than one AP.

Congenital or structural heart diseases.

Trial population

All patients with suggested septal AP (both manifest and concealed AP)

Trial design

Design model

Case-only

Time perspective

Retrospective

Treatments tested in this trial

  • Radiofrequency ablation

    Procedure/Surgery

    Radiofrequency ablation of the septal accessory pathway

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Right group1 intervention
Group B: Left group1 intervention

Trial outcomes

Primary outcomes

1

Differentiate right from left septal manifest accessory pathway using ECG

Onset of delta wave in each lead will be measured from the onset of the earliest delta wave in any of the ECG leads.The polarity of the delta wave will be measured within the initial 20 msec of the preexcitation and will be classified as positive (+), negative (-), or isoelectric (+-). Localization of the site of the accessory pathway will be done using Arruda's algorithm and Fitzpatrick's algorithm

Time frame
Baseline

Secondary outcomes

Other outcomes

Sponsors and contacts

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