TY - JOUR
T1 - Transverse Dissociation of the Human His Bundle
AU - ELENCWAJG, BENJAMIN
AU - ZAMAN, LIAQAT
AU - ROZANSKI, JOHN J.
AU - MYERBURG, ROBERT J.
AU - CASTELLANOS, AGUSTIN
PY - 1982/5
Y1 - 1982/5
N2 - “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)
AB - “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)
KW - AV block
KW - His bundle recordings
KW - alternating Wenckebach periods
KW - transverse dissociation
KW - two‐level block
KW - “split” H deflection
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U2 - 10.1111/j.1540-8159.1982.tb02238.x
DO - 10.1111/j.1540-8159.1982.tb02238.x
M3 - Article
C2 - 6179049
AN - SCOPUS:0019951628
VL - 5
SP - 323
EP - 328
JO - PACE - Pacing and Clinical Electrophysiology
JF - PACE - Pacing and Clinical Electrophysiology
SN - 0147-8389
IS - 3
ER -