Transverse Dissociation of the Human His Bundle

BENJAMIN ELENCWAJG, LIAQAT ZAMAN, JOHN J. ROZANSKI, ROBERT J. MYERBURG, AGUSTIN CASTELLANOS

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

“Completed” and “abor tive” alternating Wenckebach periods occurred in a symptomatic female with calcification of the mi tral annulus, These arrhythmias were attributed to transverse dissociation of the His bundle into two horizontal levels “connected in series,” with 2:1 block in the “distal” level and Wenckebach periods in the “proximal” level. Intra‐Hisian alternating Wenckebach periods resembled those resulting from transverse dissociation of other infra‐AV nodal structures in that they are rare, usually symptomatic and require pacemaker implantation. This contrasts with the variety of rhythms resulting from trans verse dissociation of the AV node which occur frequently, are not always malignant, and generally are not treated with implanted pacemakers. (PACE, Vol. 5, May‐June, 1982)

Original languageEnglish (US)
Pages (from-to)323-328
Number of pages6
JournalPacing and Clinical Electrophysiology
Volume5
Issue number3
DOIs
StatePublished - May 1982

Keywords

  • AV block
  • His bundle recordings
  • alternating Wenckebach periods
  • transverse dissociation
  • two‐level block
  • “split” H deflection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    ELENCWAJG, BENJAMIN., ZAMAN, LIAQAT., ROZANSKI, JOHN. J., MYERBURG, ROBERT. J., & CASTELLANOS, AGUSTIN. (1982). Transverse Dissociation of the Human His Bundle. Pacing and Clinical Electrophysiology, 5(3), 323-328. https://doi.org/10.1111/j.1540-8159.1982.tb02238.x