His Bundle Refractoriness

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His Bundle Refractoriness.

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Determination of His-Purkinje refractoriness in man with His bundle pacing.

Consistent His bundle pacing was accomplished in one of 60 consecutive patients. Intracardiac electrophysiologic studies in this patient revealed rapid atrioventricular nodal conduction (AH = 55 msec). While the relative refractory period of the His-Purkinje system as a whole determined by His bundle pacing (using the extrastimulus technique) was identical to that determined by atrial pacing, c...

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His bundle rhythm.

SUMMARY Traditionally the site of impulse formation in so-called A-V nodal rhythms has been considered to be within the upper, middle, and lower portions of the A-V node. In this study, evidence obtained supports the concept that the His bundle and not the A-V node is the pacemaker site in nodal rhythms. His bundle activity was recorded in clinical cases of nodal rhythms and A-V dissociation by...

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His Bundle electrogram in bundle-branch block.

SUMMARY Because a great majority of patients with chronic complete heart block have bilateral bundle-branch lesions, it becomes important to recognize earlier degrees of bilateral bundle-branch block. The H-V interval in the His bundle electrogram during unilateral bundle-branch block reflects the conduction primarily through the contralateral bundle branch, and thus the His bundle electrogram ...

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His bundle electrograms.

Since the recording of the first human electrocardiogram by Wailer in I889 the science of electrocardiography has developed and advanced rapidly, but has been limited by the inability to record electrical activity from specialized areas of the heart. A significant contribution was made by Alanis, Gonzailez, and L6pez in 1958 when they recorded His bundle potentials in the isolated perfused dog ...

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ژورنال

عنوان ژورنال: Circulation: Arrhythmia and Electrophysiology

سال: 2016

ISSN: 1941-3149,1941-3084

DOI: 10.1161/circep.116.004719