Jan 1, 1975

An analysis of Wenckebach periodicity

Journal of Electrocardiology
H S FriedmanJ I Haft

Abstract

His bundle electrograms of 40 patients developing Wenckebach block during atrial pacing and four with spontaneous Wenckebach block above the His were reviewed to determine the frequency of classical Wenckebach periodicity. Thirty patients had 143 Wenckebach cycles that were suitable for analysis. Cycles were evaluated for the following features: 1) the first A-H interval as the shortest, 2) the first R-R interval as the longest, 3) the last R-R interval as the shortest, 4) a progressive diminution of the increment of A-H interval prolongation, 5) a progressive diminution of the R-R interval and 6) the R-R interval containing the nonconducted A wave being equal to twice the A-A interval less the sum of the increments of A-H prolongation. Wenckebach cycles that occurred during atrial pacing were not significantly different from those that occurred spontaneously. Fifteen per cent of all cycles met all six criteria- 14% had five, 6% had four; 17% had three; 20% had two; 27% had one; and 1% had none. Short cycles were the most likely to show typical Wenckebach periodicity: 56% of the cycles with conduction ratios of 4:3, 28% with 5:4 and 4% with 6:5 met at least five criteria, whereas none of the 22 cycles having ratios 7:6 or great...Continue Reading

  • References20
  • Citations13

References

  • References20
  • Citations13

Citations

Mentioned in this Paper

Heart Block
Periodicity
Left Bundle Branch of His
Cardiac Conduction System
Structure of Atrioventricular Node
Bundle of His
Familial Mediterranean Fever
Heart Atrium
Cardiac Conduction
Nerve Impulses

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