Pathophysiologic Correlations in Two Cases of Split His Bundle Potentials

Author:

BHARATI SAROJA1,LEV MAURICE1,WU DELON1,DENES PABLO1,DHINGRA RAMESH1,ROSEN KENNETH M.1

Affiliation:

1. From the Congenital Heart Disease Research and Training Center, Hektoen Institute for Medical Research; and the Departments of Pathology-Northwestern University Medical School; Pritzker School of Medicine, University of Chicago; The Chicago Medical School, University of Health Sciences; Loyola University, Stritch School of Medicine; the Department of Pathology and Section of Cardiology, Department of Medicine, Abraham Lincoln School of Medicine of the University of Illinois College of Medicine; West...

Abstract

This is a pathophysiological correlation in two cases showing split His bundle potentials. The first case had a history of previous complete heart block and the electrophysiological studies revealed split His potentials with intact A-V conduction. Case two had split His potentials with complete heart block. Serial sections of the conduction system in both cases revealed calcific impingement on, and degenerative changes within the bundle of His with healthy bundle of His proximal and distal to the lesion.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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