Professor Hein J.J. Wellens

by Smeets, J. L. R. M.; Doevendans, Pieter A.; Josephson, M.; Kirchhof, Ch; Vos, M.

• ISBN13: 9780792362098
• ISBN10: 0792362098
• Format: Hardcover
• Copyright: 2000-03-01
• Publisher: Springer Verlag

Summary

The first invasive evaluation of cardiac arrhythmias in humans was performed in 1967 in Paris (Prof. P. Coumel) and Amsterdam (Prof. D. Durrer). This was the start of a rapid increase in our knowledge of the diagnosis, mechanism and treatment of cardiac arrhythmias. In that same year Prof. Hein J.J. Wellens became cardiologist in the Wilhelmina Gasthuis in Amsterdam. Initially in Amsterdam (1967-1977) and later on in Maastricht (from 1977), he was the driving force for many breakthroughs in clinical cardiac electrophysiology. With an active interplay between the knowledge derived from the 12-lead electrocardiogram and the recordings made with invasive electrophysiology, he composed new ideas leading to major contributions in clinical cardiac electrophysiology and, more generally, in arrhythmology. He published over 650 scientific papers and 14 books, and had numerous functions within scientific boards of prestigious journals. In addition he trained more than 120 cardiologists in clinical cardiac electrophysiology. On the occasion of the congress '2000, Future of Arrhythmology: Lessons From the Past, Promises For Tomorrow', we highlight the scientific work of Prof. Hein J.J. Wellens. A selection of more than 60 articles over the whole time span has been selected. These articles are accompanied by comments from an expert, co-worker and/or former fellow in order to place the paper in a scientific time frame, including the relationship of the author with Prof. Hein J.J. Wellens.

Table of Contents

Introduction
The role of premature beats in the initiation and the termination of supraventricular tachycardia in the Wolff-Parkinson-White syndrome	p. 1
Supraventricular tachycardia with left aberrant conduction due to retrograde invasion into the left bundle branch	p. 21
Electrical stimulation of the heart in patients with Wolff-Parkinson-White syndrome; Type A	p. 27
Electrical stimulation of the heart in patients with ventricular tachycardia	p. 43
Ventricular fibrillation occurring on arousal from sleep by auditory stimuli	p. 55
Effect of digitalis on atrioventricular conduction and circusmovement tachycardias in patients with the Wolff-Parkinson-White syndrome	p. 63
Further observations on ventricular tachycardia as studied by electrical stimulation of the heart. Chronic recurrent ventricular tachycardia and ventricular tachycardia during acute myocardial infarction	p. 69
Factors influencing prognosis of bundle branch block complicating acute anteroseptal infarction. The value of His bundle recordings	p. 79
Epicardial mapping and surgical treatment in Wolff-Parkinson-White syndrome; Type A	p. 87
Lidocaine in the prevention of primary ventricular fibrillation	p. 99
W.P.W. syndrome and atrial fibrillation. Relation between refractory period of accessory pathway and ventricular rate during atrial fibrillation	p. 105
The role of accessory atrioventricular pathway in reciprocal tachycardia	p. 113
Effect of amiodarone in the Wolff-Parkinson-White syndrome	p. 133
Observations on mechanisms of ventricular tachycardia in man	p. 143
Value and limitations of Thallium-201-scintigraphy in the acute phase of myocardial infarction	p. 155
Effect of Procainamide, Propranolol and Verapamil on mechanism of recurrent ventricular tachycardia	p. 163
The value of the electrocardiogram in the differential diagnosis of a tachycardia with a widened QRS-complex	p. 173
The anatomical substrates of Wolff-Parkinson-White syndrome. A clinicopathologic correlation in seven patients	p. 183
Reciprocal tachycardias using accessory pathways with long conduction times	p. 197
Use of Ajmaline in identifying patients with the Wolff-Parkinson-White syndrome and a short refractory period of their accessory pathway	p. 215
Initiation and termination of ventricular tachycardia by supraventricular stimuli	p. 221
Spontaneous termination of circus movement tachycardia utilizing an atrioventricular accessory pathway: incidence, site of block and mechanisms	p. 231
Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction	p. 245
Pacemaker related tachycardia	p. 253
Inter- and intra-atrial dissociation during spontaneous atrial flutter: Evidence for a focal origin of the arrhythmia	p. 265
Extrastimulus related shortening of the first postpacing interval in digitals induced ventricular tachycardia. Observations during programmed electrical stimulation in the conscious dog	p. 275
Atrial tachycardia facilitating initiation of ventricular tachycardia	p. 297
Localization of the accessory pathway in the WPW syndrome from the ventriculo-atrial conduction time of right ventricular apical extrasystoles	p. 305
The value of QRS alternation in diagnosing the site of origin of narrow QRS supraventricular tachycardia	p. 313
Observations on the antidromic type of circus movement tachycardia in the Wolff-Parkinson-White syndrome	p. 321
Multiple circus movement tachycardias with multiple accesory pathways	p. 331
Value of lead V[subscript 4]R for recognition of the infarct coronary artery in acute inferior wall myocardial infarction	p. 341
Importance of modes of electrical termination of ventricular tachycardia for the selection of implantable antitachycardia devices	p. 347
Clinical, angiographic and electrophysiologic findings in patients with aborted sudden death as compared to patients with sustained ventricular tachycardia after myocardial infarction	p. 355
Effects of early reperfusion in acute myocardial infarction on arrhythmias induced by programmed stimulation. A prospective, randomized study	p. 365
Reversibility of tachycardia-induced left ventricular dysfunction after closed-chest catherer ablation of the atrioventricular junction for intractable atrial fibrillation	p. 377
Value of admision electrocardiogram in predicting outcome of thrombolytic therapy in acute myocardial infarction	p. 381
Indications for use of intracardiac electrophysiological studies for diagnosis of site or origin and mechanism of tachycardias	p. 393
Usefulness of the accelerated idioventricular rhythm as a marker for myocardial necrosis and reperfusion during thrombolytic therapy in acute myocardial infarction	p. 401
Prognosis of patients with ventricular tachycardias and ventricular fibrillation. Role of the underlying etiology	p. 411
Ventricular fibrillation in six adults without overt heart disease	p. 423
Non-ischemic ventricular tachycardia: clinical course and long-term follow-up in patients without clinically overt heart disease	p. 431
Reversibility of tachycardia-induced cardiomyopathy after cure of incessant supraventricular tachycardia	p. 443
Clinical and electrophysiologic characteristics of patients with antidromic circus movement tachycardia in the Wolff-Parkinson-White syndrome	p. 453
The electrocardiogram in patients with multiple accessory pathways	p. 469
Atrial fibrillation in patients with an accessory pathway: Importance of the conduction properties of the accessory pathway	p. 477
Clinical presentation and prognosis of left main coronary disease in the 1980s	p. 485
Incidence and timing of recurrences of sudden death and ventricular tachycardia during antiarrhythmic drug treatment after myocardial infarction	p. 497
The electrocardiographic, clinical, and electrophysiologic spectrum of idiopathic monomorphic ventricular tachycardia	p. 503
Long-term follow-up (12 to 35 weeks) after dynamic cardiomyoplasty	p. 513
Effects on the signal-averaged electrocardiogram of opening the coronary artery by thrombolytic therapy or percutaneous transluminal coronary angioplasty during acute myocardial infarction	p. 527
Value of the 12-lead electrocardiogram in arrhythmogenic right ventricular dysplasia and absence of correlation with echocardiographic finding	p. 535
Improvement in left heart function by ablation of AV nodal conduction in selected patients with lone atrial fibrillation	p. 543
High-density mapping of electrically induced atrial fibrillation in humans	p. 549
Reproducible induction of early afterdepolarizations and torsade de pointes arrhythmias by d-sotalol and pacing in dogs with chronic atrioventricular block	p. 569
Cure of interfascicular reentrant ventricular tachycardia by ablation of the anterior fascicle of the left bundle branch	p. 583
Out-of-hospital cardiac arrest in the 1990s: A population-based study in the Maastricht area on incidence, characteristics and survival	p. 591
New method for nonfluoroscopic endocardial mapping in humans. Accuracy assessment and first clinical results	p. 601
Atrioverter: an implantable device for the treatment of atrial fibrillation	p. 611
Sudden cardiac death	p. 621
Molecular genetics of inherited long QT syndromes	p. 647
Effect of right atrial isthmus ablation on the occurrence of atrial fibrillation. Observations in four patient groups having type I atrial flutter with or without associated atrial fibrillation	p. 657
Effect of butorphanol tartrate on shock-related discomfort during internal atrial defibrillation	p. 667
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