A case of Wolff-Parkinson-White syndrome type A with coexisting ipsilateral bundle branch block is presented. The diagnosis was suspected because of subtle electrocardiographic changes and was confirmed at electrophysiological study. Necropsy showed a vascular anomaly of the coronary sinus that contained bundles ofmyocardial muscle which crossed the atrioventricular ring at a site that was cons...

BACKGROUND Conduction defects complicating acute myocardial infarction (MI) are frequent and associated with increased mortality and complications. Common conduction defects after acute MI are atrioventricular nodal blocks (1st, 2nd and 3rd degree) and intraventricular conduction defects (right or left bundle branch blocks and hemiblocks). In myocardial infarction occlusion of coronary arteries...

We report a case of a 62-year-old male with Steinert's disease who presented with progressive intermittent episodes of lightheadedness five years after he was diagnosed with the disease. On evaluation, he developed a new onset trifascicular block (first degree atrioventricular block, new onset right bundle branch block, and left anterior fascicular block). A dual chamber pacemaker was inserted ...

Intraoperative mapping and radiofrequency ablation of the His bundle (with epicardial ventricular pacing) were performed in an 18-year-old woman with complex congenital heart disease and intractable chronic atrial arrhythmias following the Fontan operation. The presence of complex intracardiac anatomy as well as the exclusion of the atrioventricular conduction tissue from the systemic venous ci...

A nine-and-a-half-year-old dog was referred for investigation of bradycardia after being hit by a car. Electrocardiography revealed a third degree atrioventricular (AV) block. The dog died during a syncopal attack. Post mortem examination revealed an atrial septal tear with haemorrhage and myocardial degeneration affecting the AV bundle.

Atrioventricular block which caused death in a 6-month-old baby is reported. Necropsy examination revealed the only abnormality in the heart to be an aneurysm of the membranous septum. Histological examination of the conduction system showed fibrosis and attenuation of the bundle of His at the lower border of the aneurysm.

The effect of phentolamine on atrioventricular conduction was studied in 6 patients using the technique of recording the His bundle potential. Right atrial pacing was used in order to keep the heart rate constant before and after administration of the drug. Increasing the heart rate by right atrial pacing resulted in a progressive increase in the PH interval, which represents atrial and atriove...

Ebstein's anomaly with coarctation of the aorta is an extremely unusual condition. In this report, the clinical and surgical features of 3 male patients, aged 7 months, 4 years and 14 years, are discussed. All patients were in situs solitus. The first 2 patients had atrioventricular and ventriculoarterial discordance and progressed to heart failure in the neonatal period. The third had atrioven...

Of 114 patients with acute myocardial infarction admitted consecutively to a coronary care unit, 10 had recent antero-septal myocardial infarction associated with right bundle-branch block and obvious left axis deviation, and I had recent antero-septal myocardial infarction with right bundle-branch block and right axis deviation. Attention is drawn to the high mortality (7 out of 11 patients), ...

Reciprocating tachycardia in a patient with a leftsided atrioventricular accessory pathway (AP) (Kent bundle, type A) capable only of ventriculo-atrial (V-A) transmission is described. The V-A AP is established as an essential link of the tachycardia circuit, as evidenced by: 1) retrograde atrial activation of the left atrium (LA) 60 msec or more before the low and high right atrium during reci...