Nature of His potential in His electrogram.
نویسندگان
چکیده
Unipolar His bundle electrograms were recorded with the muscle preparation isolated from the rabbit or the dog heart at as various sites as possible on and near the A-V conduction system and changes in appearance time and configuration of the so-called His (H) potential were examined. When the exploring electrode was shifted from the coronary sinus orifice down to the transition between the A-V node and the His bundle, the H potential was small but observed distinctly and its appearance time was rather fixed. The earliest excitation of the His bundle is thus assumed to be not much earlier than 1/3 or 1/4 the P-R interval before the Q wave. The nodal (N) potential appeared in addition to the H potential at variable time points while the electrode was shifted on the A-V node and disappeared when it was reached the His bundle. The appearance did not give the impression that the N potential changed to the H potential according to the electrode shift. Over the His bundle the H potential changed its appearance time successively. The H potential was also compared with the action potential obtained from the points as close as possible to the exploring electrode or with the other reference electrogram. It took the electrical field generated by the electrical activity of the whole of the His bundle, but it was influenced more by the local electrical activity than in the case of the electrocardiogram of the whole heart in situ.
منابع مشابه
Orthodromic capture of the atrial electrogram during transient entrainment of atrioventricular nodal reentrant tachycardia.
BACKGROUND The reentry circuit of atrioventricular nodal reentrant tachycardia (AVNRT) has not been fully demonstrated. We hypothesized that if an upper common pathway was present, the atrial electrogram could not be captured orthodromically during transient entrainment of AVNRT by rapid atrial pacing. Based on this hypothesis, the presence of an upper common pathway was investigated. METHODS...
متن کاملStudies of heart block with His bundle electrograms.
A total of 24 patients with heart block revealed by scalar electrocardiography was studied using the His bundle electrogram. Four groups of disturbed conduction are described which include various types of heart block, partial and complete, at different sites, single and multiple, in the specialized conducting system. These are (i) intra-atrial block with delayed or blocked internodal conductio...
متن کاملHis bundle electrograms of dog. Correlation with intracellular recordings.
Transmembrane potentials from the penetrating and branching portions of the bundle of His were simultaneously recorded along with bipolar extracellular electrograms. Recordings were obtained during periods of normal antegrade and retrograde conduction and also during various degrees of conduction delay and block within and distal to the bundle of His. The onset and ternination of extracellular ...
متن کاملExperimental evaluation of some controversial points regarding the A-V conduction disturbances in the clinical His bundle electrogram.
Although the recordings of the His potential have been shown to be very useful in the study of cardiac conduction and rhythm disturbances, there remain some problems regarding the clinical His bundle electrogram. Some of the studies were performed to solve in the perfused dog hearts and in situ dog hearts, and consequently the following results were obtained. In some experiments, recording of t...
متن کاملHis 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 ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Japanese heart journal
دوره 13 6 شماره
صفحات -
تاریخ انتشار 1972