Document Detail


Functional properties of mahaim fibers.
MedLine Citation:
PMID:  926714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Electrophysiological studies were performed in a patient with a short P-R interval and a small delta wave. The findings suggest that ventricular pre-excitation resulted from an infranodal bypass (Mahaim type). As the functional properties of the pathway were evaluated, impaired conductivity (suggested by rather long refractory periods) became apparent at frequency stress. The pathway could easily be blocked by Ajmaline. This demonstrated an unexpected early diastolic improvement in conductivity; i.e. a supernormal phase of conduction. Due to this supernormal phase, Mahaim-fiber conduction was present when block in the anterior division of the left bundle branch, or even trifascicular block occurred. Thus the effects of exclusive Mahaim-fiber conduction on ventricular activation were documented.
Authors:
H Neuss; J Thormann
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Klinische Wochenschrift     Volume:  55     ISSN:  0023-2173     ISO Abbreviation:  Klin. Wochenschr.     Publication Date:  1977 Nov 
Date Detail:
Created Date:  1978-01-27     Completed Date:  1978-01-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985205R     Medline TA:  Klin Wochenschr     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  1031-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Ajmaline / pharmacology
Arrhythmias, Cardiac / physiopathology
Atrioventricular Node / physiopathology*
Bundle of His / physiopathology
Electrocardiography
Female
Heart Conduction System / drug effects,  physiopathology*
Humans
Chemical
Reg. No./Substance:
4360-12-7/Ajmaline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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