Bundle branch reentry with His dissociation—The His bundle: Bystander or participant?

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 ...

Reentry within the His-Purkinje system. Elucidation of reentrant circuit using right bundle branch and His bundle recordings.

Routes of impulse propagation during reentry in the His-Purkinje system (Re-HPS) in 13 patients were studied using the right ventricular extra stimulus (V2) method and right bundle branch (RBB) recordings in addition to the conventional His (H) bundle recordings. The H-V and RB-V intervals during sinus rhythm averaged 44.2 and 27.6 msec respectively, with the average antegrade H-RB interval 16....

RIGHT BUNDLE BRANCH PURKlNJE Flf 3 ERS F BUNDLE OF HIS I LEFT BUNDLE BRANCH MYOCARDIUM

A dom inant tenet in physio logy for m .ore t han half a century h as been the principle of homeostasis. The term was coined by W. B. Cannon (2) to describe the observation that physiological systems normally operate to reduce variability and to maintain a constancy of internal function. Accordingly, one might expect most any physiological variable, including heart rate, to return to its normal...

Longitudinal dissociation in the His bundle. Bundle branch block due to asynchronous conduction within the His bundle in man.

His Bundle Refractoriness.

Multiple points of instruction discussed practically in the context of a challenging case make for a memorable learning experience. In this installment of Teaching Rounds in Cardiac Electrophysiology, Nayyar et al elucidate the unique findings and analysis in such a manner and take us through to diagnosis and a treatment plan that eliminated arrhythmia without having to ablate all of the abnorm...