'Supernormal' phase in hemiblock conduction.

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'Supernormal' phase in hemiblock conduction.

A case is described where the basic sinus rhythms is associated with an advanced degree of left anterior hemiblock. The rhythm is complicated by atrial extrasystoles, associated with a lesser degree of left anterior hemiblock. This paradox of 'supernormality' is explained on a critical interplay of differential refractoriness within the divisions of the left bundle-branch.

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The supernormal phase of conduction is a short period of paradoxically improved conduction which may occur during an early phase of the recovery cycle of cardiac conducting tissue. The situation is paradoxical, for the improved conduction occurs during a short critical early period, while later impulses are blocked or have greater conduction delays. The term is, in a sense, a misnomer since con...

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Concealed and supernormal atrioventricular conduction.

THE FAILURE of a cardiac impulse to traverse the entire atrioventricular (AV) conducting system is called concealed conduction. Electrocardiographically, the effects of concealed conduction are reflected in the conduction and/or formation of subsequent beats.1 The concept of concealed conduction can be applied to explain (1) post-extrasystolic prolongation of the P-R interval, (2) the irregular...

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A supernormal period of intraand interatrial conduction was observed in five patients during premature stimulation of various atrial sites with driving cycle lengths ranging between 500 and 600 msec. Electrograms were recorded with filtered, 1-mm apart, bipolar catheter electrodes placed in the high right atrium, coronary sinus, and midleft atrium. The supernormal period, which lasted from 90 t...

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ژورنال

عنوان ژورنال: Heart

سال: 1976

ISSN: 1355-6037

DOI: 10.1136/hrt.38.2.207