Journal of Electrocardiology
Volume 36, Issue 1 , Pages 73-79 , January 2003

Atypical atrioventricular Wenckebach periodicity caused by conduction through triple atrioventricular junctional pathway as a probable mechanism

References 

  1. Wu D. Dual atrioventricular nodal pathways: A reappraisal. PACE. 1982;5:72
  2. Kistin AD. Multiple pathways of conduction and reciprocal rhythm with interpolated ventricular premature systoles. Am Heart J. 1963;65:162
  3. Schuilenburg RM, Durrer D. Ventricular echo beats in the human heart elicited by induced ventricular premature beats. Circulation. 1969;40:337
  4. Spurrell RAJ, Krikler D, Sowton E. Two or more intraA-V nodal pathways in association with either a James or Kent extranodal bypath in 3 patients with paroxysmal supraventricular tachycardia. Br Heart J. 1973;35:113
  5. Dopirak MR, Schaal SF, Leier CV. Triple A-V nodal pathways in man?. J Electrocardiol. 1980;13:185
  6. Swiryn S, Brauernfeind RA, Palileo EA, et al.  Electrophysiologic study demonstrating triple antegrade AV nodal pathways in patients with spontaneous and/or induced supraventricular tachycardia. Am Heart J. 1982;103:168
  7. Tai CT, Chen SA, Chiang CE, et al.  Multiple anterograde atrioventricular node pathways in patients with atrioventricular node reentrant tachycardia. J Am Coll Cardiol. 1996;28:725
  8. Lee KL, Chun HM, Liem LB, et al.  Multiple atrioventricular nodal pathways in humans: electrophysiologic demonstration and characterization. J Cardiovasc Electrophysiol. 1998;9:129
  9. Katoh T, Nakane T, Ninomiya H, et al.  Double reciprocation with double ventricular responses in a case of triple AV pathways. Shigaigaku. 1995;18:79; (in Japanese)
  10. Narula OS. Longitudinal dissociation in the His bundle. Bundle branch block due to asynchronous conduction within the His bundle. Circulation. 1977;56:996
  11. Katoh T, Nishimura M, Tsuji Y, et al.  Double His deflections caused by intrahisian conduction disturbance with longitudinal dissociation. Am J Cardiol. 1984;53:368
  12. Katoh T, Kinoshita S, Tsujimura Y, et al.  Double ventricular response caused by longitudinal dissociation in the His bundle. J Electrocardiol. 2002;35:69
  13. Kinoshita S, Konishi G. Atrioventricular Wenckebach periodicity in athletes: Influence of increased vagal tone on the occurrence of atypical periods. J Electrocardiol. 1987;20:272
  14. Josephson ME. Supraventricular tachycardia. In: ed 2. Clinical Cardiac Electrophysiology: Techniques and Interpretations. Philadelphia, PA: Lea & Febiger; 1993;p. 181
  15. Rosenbaum MB, Elizari MV, Lazzari JO, et al.  Intraventricular trifascicular blocks. Am Heart J. 1969;78:450
  16. Zhang Y, Bharati S, Mowrey KA, et al.  His electrocardiogram alternans reveal dual-wavefront inputs into longitudinal dissociation within the bundle of His. Circulation. 2001;104:832

 Reprint requests: Takakazu Katoh, MD, Katoh Cardiovascular Clinic, Taishogun 3-Chome 8-16, Ohtsu 520-2145, Japan.

PII: S0022-0736(02)30451-5

doi: 10.1054/jelc.2003.036073

Journal of Electrocardiology
Volume 36, Issue 1 , Pages 73-79 , January 2003