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Alternating reversed wenckebach periodicity: Concealed electrotonic conduction as a possible mechanism.

Abstract：

:Electrocardiograms were taken from a 67-year-old man with 2:1 atrioventricular block in whom alternating reversed Wenckebach periodicity was found. Long PR intervals of alternately conducted P waves progressively shortened until an alternate P wave was blocked. After an alternate P wave was blocked, the next alternate P wave was conducted to the ventricles with a markedly long PR interval. Then long PR intervals of alternately conducted P waves progressively shortened again until an alternate P wave was blocked. This is the first report on alternating reversed Wenckebach periodicity. It seems that concealed electrotonic conduction of alternately blocked impulses occurred as a possible mechanism.

journal_name

J Electrocardiol

journal_title

Journal of electrocardiology

authors

Katoh T,Kinoshita S,Tsujimura Y,Sasaki Y

doi

10.1054/jelc.2003.50010

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

81-4

issue

1

eissn

0022-0736

issn

1532-8430

pii

S0022073603500024

journal_volume

36

pub_type

杂志文章

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