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Electrophysiologic and vectorcardiologic studies in a patient with Wolff-Parkinson-White syndrome Type A associated with complete right bundle branch block Yasuki Sakamoto*, Shunpei Ohkubo*, Shutaro Satake*, Kazumasa Hiejima*, Seiko Kawano**, Fumio Suzuki**, and Toyomi Sano. ** *The First Department of Internal Medicine, School of Medicine, Tokyo Medical and Dental University **Institute for Cardiovascular Diseases, Tokyo Medical and Dental University Keywords

1) Pick, A. and Fisch, C.: Ventricular pre-excitation (Wolff-Parkinson-White syndrome) in the presence of

bundle branch block. Am. Heart J., 55: 504, 1958. 2) Gamboa, R., Penaloza, D., Sime, F. and Banchero, N.: The role of the right and letft ventricles in the ventricular pre-excitation (WPW) syndrome. An experimental study in man. Am. J. Cardiol., 10: 650, 1962. 3) Castellanos, Jr. A, Mayer, J. W. and Lemberg, L. : The electrocardiogram and vectorcardiogram in Wolff-Parkinson-White syndrome associated with bundle branch block. Am. J. Cardiol., 10: 657, 1962. 4) Castillo, C. A., Castellanos, Jr. A., Befeler, B., Myerburg, R. J., Agha, A. S. and Vagueiro, M. C. : Arrival of excitation at right ventricular apical endocardium in Wolff-Parkinson-White syndrome type A, with and without right bundle branch block. Br, Heart J., 35: 594, 1973. 5) Bellet, S.: Clinical disorder of the heart beat. ed. 3. Philadelphia, Lea and Febiger, 1973, p. 497. 6) Satake, S., Hiejima, K., Sakamoto, Y., Suzuki, F. and Sano, T.: Demonstration of bidirectional dual A-V nodal pathways in the same patient. J. Electrocardiol., 10: 71, 1977. 7) Hellerstein, H. K. and Hamlin, R.: QRS component of the spatial vectorcardiogram and of the spatial magnitude and velocity electrocardiograms of the normal dog. Am. J. Cardiol., 6: 1049, 1960. 8) Sano, T., Suzuki, F., Takahashi, T., Fukamachi, M. and Furukawa, T.: On the spatial velocity electrocardiogram. I. Apparatus. Japan. Heart J., 8: 3 01, 1967. 9) Sano, T., Suzuki, F., Hiroki, T. and Sato, S. :The spatial velocity electrocardiogram in normal and abnormal states and its clinical significance in ventricular premature beats. Proc. Japan. Acad., 43: 812, 1967. 10) Sakamoto, Y., Kokusho, S., Hiroki, T. and Sano, T.: Depolarization phase of the spatial valocity electrocardiogram in normal and ventricular overloading. Electrocardiol., 6: 19, 1973. 13) Sakamoto, Y., Sano, T., Kokusho, S., Hiroki, T. and Tsuchihashi, H.: Spatial velocity electrocardiogram of ventricular conduction abnormalities. International Research Communications System, July 1973. 14) Bianch, C. and Beccari, E.: L'ajmalina nella terapia della aritimie cardiache. Minerva Med., 57: 1273, 1966. 15) Mori, H.: QRS waves of the spatial velocity electrocardiograms in old myocardial infarctions: Its diagnostic contributions. Japan. Circul. J., 35: 791, 1 971. 20) Boineau, J. P., Spear, J. F. and Sealy, W. C.: Basis of static and dynamic electrocardiographic in the Wolff-Parkinson-White rdiol., 32: 32, 1973. variations syndrome. Am. J. Ca