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European Heart Journal 1980 1(4):293-298;
Copyright © 1980 by the European Society of Cardiology.
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© 1980 The European Society of Cardiology

Alternating Wenckebach phenomenon in the His-Purkinje system: a case report

J. F. LECLERCQ, M. D. ROSENGARTEN, J. CABANE and R. SLAMA

Clinique Cardiologique Hôpital Lariboisiere, 2 rue A. Pare, 75475 Paris, Cedex 10, France

Received 25 March 1980; revised 1 May 1980; .

This report describes a case of distal AV block with a 2/1 conduction in basal conditions. Atrial stimulation induced an alternating Wenckebach phenomenon (AWP), always distal to the His bundle spike, with 8/3 or 6/2 conduction at an atrial rate of 88/min, and 12/3, 8/2 or 9/2 conduction at 130/min. Models for these conduction disturbances are presented, based on previous work on AW in the AV node. The clinical significance of the distal AWP is discussed.

Key Words: AV block • atrial stimulation rate


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