RETROGRADE (TRANSSEPTAL) ACTIVATION OF RIGHT BUNDLE-BRANCH DURING SINUS RHYTHM

被引：5

作者：

JAZAYERI, MR

DESHPANDE, SS

SRA, JS

AKHTAR, M

机构：

[1] Electrophysiology Laboratory, University of Wisconsin Milwaukee Clinical Campus, Sinai Samaritan Medical Center-Mount Sinai Campus, Milwaukee, Wisconsin

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1993年 / 4卷 / 03期

关键词：

TRANSSEPTAL ACTIVATION; BUNDLE BRANCH BLOCK; DECREMENTAL CONDUCTION;

D O I：

10.1111/j.1540-8167.1993.tb01231.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 40-year-old man undergoing electrophysiologic study for recurrent palpitations was found to have a right bundle branch block during sinus rhythm and right bundle potentials occurring after ventricular activation. The sequence of activation of the proximal and distal right bundle potentials was suggestive of a retrograde invasion of the right bundle during sinus rhythm. This transseptal activation of the right bundle via the left bundle exhibited decremental conduction characteristics during atrial as well as ventricular stimulation. Observations made in this case may provide some important information concerning the electrophysiologic behavior of transseptal impulses.

引用

页码：280 / 287

页数：8

共 17 条

[1]

Moe GK, Mendcz C, Han J, Aberrant AV impulse propagation in the dog heart. A study of functional bundle branch block, Circ Res, 16, pp. 261-286, (1965)

[2]

Wellens HJJ, Durrer D, Supraventricular tachycardia with left aberrant conduction due to retrograde invasion into the left bundle branch, Circulation, 38, pp. 474-479, (1968)

[3]

Myerburg RJ, Stewart JW, Hoffman BF, Electrophysiological properties of the canine peripheral AV conducting system, Circ Res, 26, pp. 361-378, (1970)

[4]

Glassman RD, Zipes DP, Site of antegrade and retrograde functional right bundle branch block in the intact canine heart, Circulation, 64, pp. 1277-1286, (1981)

[5]

Akhtar M., Damato AN, Batsford WP, Et al., Demonstration of reentry within the His‐Purkinje system in man, Circulation, 50, pp. 1150-1162, (1974)

[6]

Zipes DP, de Joseph RL, Rothbaum DA, Unusual properties of accessory pathways, Circulation, 49, pp. 1200-1211, (1974)

[7]

Akhtar M, Gilbert C, Wolf FG, Et al., Reentry within the His‐Purkinje system. Elucidation of reentrant circuit using right bundle branch and His bundle recordings, Circulation, 58, pp. 295-304, (1978)

[8]

Reddy CP, Slack JD, Recurrent sustained ventricular tachycardia: Report of a case with His bundle branches reentry as the mechanism, Eur J Cardiol, 11, pp. 23-31, (1980)

[9]

Touboul P., Kirkorian G, Atallah G, Et al., Bundle branch reentrant tachycardia treated by electrical ablation of the right bundle branch, J Am Coll Cardiol, 7, pp. 1404-1409, (1986)

[10]

Caceres J, Jazayeri M, Mc Kinnie J, Et al., Sustained bundle branch reentry as a mechanism of clinical tachycardia, Circulation, 79, pp. 256-270, (1988)

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