Document Detail


The surface electrocardiogram in complete intra-his heart block.
MedLine Citation:
PMID:  660019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In some cases, the surface ECG may be useful in predicting that the level of heart block is intra-His rather than supra-His. In five patients with third degree heart block the level of block was documented to be within the His bundle. In all five, the surface ECG showed an escape rhythm with QRS complexes of less than 0.10s. duration. The initial QRS forces were abnormal in that "septal" q waves were not present in leads 1 and V6. Two of the five patients had occasional conducted beats with normal "septal" q waves. Thus, heart block associated with an escape rhythm of narrow QRS morphology but abnormal septal depolarization may indicate that the level of the block is intra-His rather than supra-His.
Authors:
N D Berman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  11     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  1978 Apr 
Date Detail:
Created Date:  1978-08-14     Completed Date:  1978-08-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  151-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Bundle of His / physiopathology*
Electrocardiography*
Female
Heart Block / diagnosis*,  physiopathology
Heart Conduction System / physiopathology*
Humans
Male

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


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