Supernormal conduction in a case of Mobitz type II atrioventricular block.

Abstract:

:A 52-year-old woman exhibited Mobitz type II atrioventricular block with right bundle branch block and 1:1 atrioventricular conduction at or slower than 80 beats/min. Electrophysiologic study revealed transient HV interval block followed by recovery from the block at shorter coupling intervals without prolongation of the H1H2 and H2V2 intervals, suggesting true supernormal conduction. Isoproterenol enhanced the supernormal conduction, with shortening of blocked intervals and recovery of atrioventricular conduction, while atropine caused their less marked enhancement. Linking (ie, retrograde concealment of the impulse to the distal His bundle region through the blocked right bundle branch) is considered a possible mechanism of supernormal conduction in this case.

journal_name

J Electrocardiol

authors

Ayusawa M,Sakurada H,Hiyoshi Y,Sumitomo N,Okazaki H,Motomiya T,Sugiura M,Hiraoka M

doi

10.1016/s0022-0736(98)90009-7

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

61-5

issue

1

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(98)90009-7

journal_volume

31

pub_type

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