Concealed AV junctional extrasystoles simulating second-degree sinoatrial block.

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Concealed AV junctional extrasystoles simulating second-degree sinoatrial block.

Concealed AV junctional extrasystoles are described which, conducted in a restrograde manner to the sinoatrial junction, interfere with sinus impulses, thus simulating a second-degree, 2:1, sinoatrial block.

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AN apparently haphazard distribution of ventricular extrasystoles may not be so haphazard as it appears and indeed may mask an underlying regularity. We previously reported a case in which careful analysis uncovered a simple but remarkable phenomenon, namely, that the interectopic intervals always contained an odd number of sinus beats.1 This was explicable on the assumption that a bigeminal rh...

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1) While it is possible only one type of second-degree AV block exists electrophysiologically, the available data do not justify such a conclusion and it would seem more appropriate to remain a "splitter," and advocate separation and definition of multiple mechanisms, than to be a "lumper," and embrace a unitary concept. 2) The clinical classification of type I and type II AV block, based on pr...

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ژورنال

عنوان ژورنال: Heart

سال: 1975

ISSN: 1355-6037

DOI: 10.1136/hrt.37.4.449