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Die Wenckebachsche Erregungsleitungsstörung

Ihre Bedeutung bei verschiedenen Rhythmusstörungen des Herzens

The Wenckebach phenomenon

Its significance for the interpretation of different cardiac arrhythmias

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Summary

The Wenckebach type of conduction disturbbance occurs frequently under physiological as well as pathological conditions. It is not restricted to the AV node but can take place in any part of the conducting system, such as the sino-atrial region and the His-Purkinje system. It is also to be found in exit blocks of ectopic rhythms. The detailed knowledge of the Wenckebach phenomenon is essential for the interpretation of numerous complex cardiac arrhythmias.

Zusammenfassung

Die Wenckebachsche Blockierung ist eine unter physiologischen wie pathologischen Bedingungen häufig anzutreffende Form der Erregungsleitungsstörung des Herzens. Sie ist nicht auf den AV-Knoten beschränkt, sondern stellt ein allgemein gültiges Phänomen der Erregungsleitung dar, das ubiquitär in allen Impulse leitenden Myokardfasern zu finden ist. So treten Wenckebachsche Perioden ebenso bei sinu-atrialen Blockierungen und bei Leitungsstörungen im His-Tawara-Purkinje System auf wie auch bei Austrittsblockierungen ektopischer Reizbildungszentren. Die genaue Kenntnis der Wenckebachschen Erregungsleitungsstörung ist von großer Bedeutung für die Interpretation zahlreicher komplexer Herzrhythmusstörungen.

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Authors and Affiliations

  1. I. Medizinische Klinik der Technischen Universität München, Klinikum rechts der Isar, Germany

    A. Wirtzfeld, L. Lutilsky & W. Baedeker

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  1. A. Wirtzfeld
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  2. L. Lutilsky
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  3. W. Baedeker
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Wirtzfeld, A., Lutilsky, L. & Baedeker, W. Die Wenckebachsche Erregungsleitungsstörung. Klin Wochenschr 50, 717–724 (1972). https://doi.org/10.1007/BF01487620

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