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Significance of his Bundle Recording in Bundle Branch Block

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To Pace or not to Pace

Abstract

His bundle studies in patients with bundle branch block (BBB) have revealed abnormal intraventricular conduction in many patients especially with left bundle branch block (LBBB). The electrophysiological explanation and the clinical significance of a prolonged His-ventricle (H-V) time is controversial. Therefore, we compared the electrophysiological data with the clinical, hemodynamic and morphological findings in patients with BBB as well as the outcome during follow-up.

Supported in part by grant of Landesamt fiir Forschung NRW.

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References

  1. Scherlag B.J., Lau S.H., Helfant R.H., Berkowitz W.O., Stein E. & Damato A.N., Catheter technique for recording His bundle activity in man. Circulation 39, 13 (1969).

    PubMed  CAS  Google Scholar 

  2. Seipel L., Both A. & Loogen F., Klinische Bedeutung der His-Bündel Elektrographie. Klin. Wschr. 53, 499 (1975).

    Article  PubMed  CAS  Google Scholar 

  3. Castellanos A., Agha A.S., Befeler B., Castillo C.A. & Berkovitz B.V., A study of arrival of excitation at selected ventricular sites during human bundle branch block using close bipolar catheter electrodes. Chest 63, 208 (dy1973).

    Google Scholar 

  4. Wit A.L., Wiss M.B., Berkowitz W.O., Rosen K.M., Steiner C. & Damato A.N., Patterns of atrioventricular conduction in the human heart. Circulation Res. 27, 345 (1970).

    PubMed  CAS  Google Scholar 

  5. Konno S. & Sakakibara S., Endomyocardial biopsy. Dis. Chest 50, 345 (1963).

    Article  Google Scholar 

  6. Kuhn H., Breithardt G., Knieriem H-J., Loogen F., Endomyocardial catheter biopsy in heart disease of unknown etiology. In: Kaltenbach M. et al. (ed.) Cardiomyopathies and myocardial biopsy, Berlin 1977.

    Google Scholar 

  7. Loogen F., Kuhn H., Classification and natural history of primary cardiomyopathies. In: Riecker G. et al. (ed.), Myocardial failure, Berlin 1977.

    Google Scholar 

  8. Johnson R.P., Messer A.D., Shreenivas & White P.O., Prognosis in bundle branch block. II. Factors influencing the survival period in left bundle branch block. Amer. Heart J. 41, 225 (1951)

    Article  PubMed  CAS  Google Scholar 

  9. Smith S., & Hayes W.L., The prognosis of complete left bundle branch block. Amer. Heart J. 70, 157 (1965).

    Article  CAS  Google Scholar 

  10. Blondeau M., Le bloc complet de Ia branche gauche avec forte deviation axiale gauche de QRS. I Etude clinique. Arch. Mal. Coeur 67, 621 (1974).

    Google Scholar 

  11. Kuhn H., Breithardt L.K., Breithardt G., Seipel L., & Loogen F., Die Bedeutung des Elektrokardiograms für die Diagnose und Verlaufsbeobachtung von Patienten mit kongestiver Kardiomyopathie. Z. Kardiol. 63, 916 (1974).

    PubMed  CAS  Google Scholar 

  12. Schneider J.F., Thomas H.E., Kreger B., McNamara P., Left bundle branch block in Framingham. Circulation Suppl. 53–54/II, 128 (1976).

    Google Scholar 

  13. Wiberg T., Gobel F.L., & Richman H.G., The significance and prognosis of bundle branch block. Circulation suppl. 49–50/III, 57 (1974).

    Google Scholar 

  14. Snyder J.W., Basta L.L., & Woolson R.F., The relative risk of spontaneous complete atrioventricular block in elderly patients with impaired intraventricular conduction. J. Electrocardiol. 8, 95 (1975).

    Article  PubMed  CAS  Google Scholar 

  15. Messer A.L., Johnson R.P., & White P.S., Prognosis in bundle branch block. Ill. Comparison of right and left bundle branch block with a note on the relative incidence of each. Amer. Heart J. 41, 239 (1951).

    Article  PubMed  CAS  Google Scholar 

  16. Rodstein M., Gubner R., Mills J.P., Lovell J.F., & Ungerleider H.E., Mortality study in bundle branch block. Arch. intern. Med. 87, 663 (1951).

    CAS  Google Scholar 

  17. Rotman M., & Triebwasser J.H., A clinical and follow-up study of right and left bundle branch block. Circulation 51, 477 (1975).

    PubMed  CAS  Google Scholar 

  18. Smith R.F., Jackson D.H., Harthorne J.W., & Sanders C.A., Acquired bundle branch block in a healthy population. Amer. Heart J. 80,746 (1970).

    Article  PubMed  CAS  Google Scholar 

  19. Quattlebaum T.G., Varghese P.J., Neill C.A., & Donahoo J.S., Sudden death among postoperative patients with tetralogy of Fallot. Circulation 54, 289 (1976)

    PubMed  CAS  Google Scholar 

  20. Wolff G.S., Rowland T.W., & Ellison R.C., Surgically induced right bundlebranch block with left anterior hemiblock. Circulation 46, 587 (1972).

    PubMed  CAS  Google Scholar 

  21. Haft J.I., Weinstock M., DeGuia R., Gupta P.K., Fano A., Assessment of atrioventricular conduction in left and right bundle branch block using His bundle electrograms and atrial pacing. Amer. J. Cardiol. 27, 474 (1971).

    Article  PubMed  CAS  Google Scholar 

  22. Castellanos A., H-V intervals in LBBB (Letter). Circulation 47, 1133 (1973).

    PubMed  Google Scholar 

  23. Amer N.S., Stukey J.M., Hoffman B.F., Cappelletti R.R., & Domingo R.T., Activation of the interventricular septal myocardium studied during cardiopulmonary by pass. Amer. Heart J. 59, 224 (1960).

    Article  PubMed  CAS  Google Scholar 

  24. Durrer D., van Dam T., Freud G.E., Janse M.J., Meijler F.L., & Arzbacher R.C., Total excitation of the isolated human heart. Circulation 41, 899 (1970).

    PubMed  CAS  Google Scholar 

  25. Rosen K.M., Rahimtoola S.H., Sinno M.Z., & Gunnar R.M., Bundle branch and ventricular activation in man. Circulation 43, 193 (1971).

    PubMed  CAS  Google Scholar 

  26. Narula O.S., Javier R.P., Samet P & Maramba L.C., Significance of His and left bundle recordings from the left heart in man. Circulation 42, 385 (1970).

    PubMed  CAS  Google Scholar 

  27. Berkowitz W.D., Lau S.H., Patton R.D., Rosen K.M., & Damato A.N., The use of His bundle recordings in the analysis of unilateral and bilateral bundle branch block. Amer. Heart J. 81, 340 (1971).

    Article  PubMed  CAS  Google Scholar 

  28. Cannom D.S., Goldreyer B.N., & Damato A.N., Atrioventricular conduction system in left bundle branch block with normal QRS axis. Circulation 46, 129 (1972).

    PubMed  CAS  Google Scholar 

  29. Fleischmann D., Mathey D., Bleifeld W., Irnich W., & Effert S., His-Bündel-Elektrographie bei Patienten mit intraventrikulären Leitungsstörungen. Klin. Wschr. 51, 1066 (1973).

    Article  Google Scholar 

  30. Guérot C., Coste A., Valere P.E., Motté G., & Tricot R., Enregistrement de l’activité du tronc du faisceau de His et de ses branches dans les troubles de conduction intraventriculaire. Arch., Mal. Coeur 66, 269 (1973).

    Google Scholar 

  31. Narula O.S., Intraventricular conduction defects. In: Narula O.S. (ed.), His bundle electrocardiography and clinical electrophysiology, Philadelphia 1975, p. 177.

    Google Scholar 

  32. Rosen K.M., Rahimtoola S.H., Chuquimia R., Loeb H.S., & Gunnar R.M., Electrophysiological significance of first degree atrioventricular block with intraventricular conduction disturbance. Circulation 43, 491 (1971).

    PubMed  CAS  Google Scholar 

  33. Scheinman M., Weiss A., & Kunkel F., His bundle recordings in patients with bundle branch block and transient neurologic symptoms. Circulation 48, 322 (1973).

    PubMed  CAS  Google Scholar 

  34. Vera Z., Mason D.T., Fletcher R.D., Awan N.A., & Massumi R.A., Prolonged His-Q interval in chronic bifascicular block. Circulation 53, 46 (1976).

    Google Scholar 

  35. Wong B.Y.S., & Dunn M., Transient unifascicular, bifascicular and trifascicular block: Electrophysiologic correlation in a patient with rate-dependent left bundle branch block and transient right bundle branch block. Amer. J. Cardiol. 39, 116 (1977).

    Article  PubMed  CAS  Google Scholar 

  36. Kastor J.A., Goldreyer B.N., Moore E.N., Shelburne J.C., & Manchester J.H., Intraventricular conduction in man studied with an endocardial electrode catheter mapping technique. Circulation 51, 786 (1975).

    PubMed  CAS  Google Scholar 

  37. Cannom D.S., Goodman D.J., & Harrison D.C., Electrophysiological studies in patients with rate-related intermittent left bundle branch block. Brit. Heart J. 36, 653 (1974).

    Article  PubMed  CAS  Google Scholar 

  38. Denes P., Wu D., Dhingra R.C., Amat-y-Leon F., Wyndham C., & Rosen K.M., Electrophysiological observations in patients with rate-dependent bundle branch block. Circulation 51, 244 (1975).

    PubMed  CAS  Google Scholar 

  39. Lang K., Klinik der AV-Überleitungsstörungen. Herz-Kreisl. 9 82 (1977).

    Google Scholar 

  40. Puech P., Corrélations entre les enregistrements de surface et l’„lectrogramme hisien. In: Seipel L. et al. (ed.) His-Bündel Elektrographie, Stuttgart 1975, p. 91.

    Google Scholar 

  41. Spurrell R.A.J., Krikler D.M., & Sowton E., Study of intraventricular conduction times in patients with left bundle-branch block and left axis deviation and in patients with left bundle branch block and normal QRS axis using His bundle electrograms. Brit. Heart J. 34, 1244 (1972).

    Article  PubMed  CAS  Google Scholar 

  42. Rosen K.M., Ehsani A., & Rahimtoola S.H., H-V intervals in left bundle-branch block. Circulation 46, 717 (1972).

    PubMed  CAS  Google Scholar 

  43. Waisser E., Gaasch W.H., Quinones M.A., & Alexander J.K., His bundle electrograms in patients with congestive cardiomyopathy. Europ. J. Cardiol. 2, 343 (1975).

    CAS  Google Scholar 

  44. Lamb L.E., Kable K.D., & Averill K.H., Electrocardiographic findings in 67375 asymptomatic subjects V. Left bundle branch block. Amer. J. Cardiol.. 6, 130 (1960).

    Article  PubMed  CAS  Google Scholar 

  45. Neuss H., Thormann J., & Schlepper M., Electrophysiologic findings in frequency-dependent left bundle-branch block. Brit. Heart J. 36, 888 (1974).

    Article  PubMed  CAS  Google Scholar 

  46. Gupta P.K., Chadda L.D., Lichstein E., Liu H., & Sayeed M., Intraventricular conduction time in patients with bundle branch block. J. Electrocardiol. 6, 181 (1973).

    Article  PubMed  CAS  Google Scholar 

  47. Ranganathan N., Dhurandher R., Philips J.P., & Wigle E.D., His bundle electrogram in bundle-branch block. Circulation 45, 282 (1972).

    PubMed  CAS  Google Scholar 

  48. Dhingra R.C., Denes P., Wu D., Wyndham C.R., Amat-y-Leon F., Town W.D., & Rosen K.M., Prospective observations in patients with chronic bundle branch block and marked H-V prolongation. Circulation 53, 600 (1976).

    PubMed  CAS  Google Scholar 

  49. Jacobson L.B., & Scheinman M., Catheter-induced intra-Hisian and intrafascicular block during recording of His bundle electrogram. Circulation 49, 579 (1974).

    PubMed  CAS  Google Scholar 

  50. Kimbris D., Dreifus L.S., & Linhart J.W., Complete heart block occurring during cardiac catheterization in patients with preexisting bundle branch block. Chest 65, 95 (1974).

    Article  Google Scholar 

  51. Levites R., Toor M., & Haft J.I., Progressive improvement of His-Purkinje conduction during recovery from catheter-induced heart block. Amer. Heart, J. 91, 79 (1976).

    Article  CAS  Google Scholar 

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Authors
  1. Ludger Seipel
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  2. Gunter Breithardt
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  3. Horst Kuhn
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Editor information

Editors and Affiliations

  1. Department of Cardiology, University Hospital, Groningen, The Netherlands

    Hilbert J. Th. Thalen M.D.

  2. Cardiac Unit, Massachusetts General Hospital, Boston, USA

    J. Warren Harthorne M.D.

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© 1978 Martinus Nijhoff Publishers by, The Hague

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Seipel, L., Breithardt, G., Kuhn, H. (1978). Significance of his Bundle Recording in Bundle Branch Block. In: Thalen, H.J.T., Harthorne, J.W. (eds) To Pace or not to Pace. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-9723-3_7

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  • DOI: https://doi.org/10.1007/978-94-009-9723-3_7

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-9725-7

  • Online ISBN: 978-94-009-9723-3

  • eBook Packages: Springer Book Archive

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