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Adenosine testing for accessory pathways: not as simple as it seems
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Not all patients who suffer from atrioventricular reciprocating tachycardia have a delta wave on their resting ECG. Concealed pathways only conduct retrogradely, while in latent pre-excitation the accessory pathway has a net conduction time to the ventricle (that is, intra-atrial conduction plus AP conduction …