Document Detail

Double ventricular response caused by longitudinal dissociation in the his bundle.
MedLine Citation:
PMID:  11786949     Owner:  NLM     Status:  MEDLINE    
Electrocardiograms were taken from a 36-year-old woman with normal sinus rhythm in which 4 types of QRS complexes and 2 types of fusion QRS complexes were found in configuration. To interpret this arrhythmia, we proposed 3 unique mechanisms: a) double ventricular response through the fast pathway mainly directing to the right bundle branch and the slow pathway mainly directing to the left bundle branch, b) longitudinal dissociation in the His bundle, and c) transverse conduction in the lower edge of the dissociation. Although functional longitudinal dissociation in the atrioventricular node has been reported, longitudinal dissociation in the His bundle is a rare arrhythmia.
Takakazu Katoh; Shinji Kinoshita; Yoshinori Tsujimura; Yoshihiko Sasaki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  35     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-11     Completed Date:  2002-04-03     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  69-74     Citation Subset:  IM    
Katoh Cardiovascular Clinic, Ohtsu, Japan.
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MeSH Terms
Bundle of His / physiopathology*
Bundle-Branch Block / physiopathology*
Heart Conduction System / physiopathology
Heart Ventricles / physiopathology*

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