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ARTICLE |

Clinical Applications of His' Bundle Electrocardiography FREE

H. Leon Greene, MD
[+] Author Affiliations

This article is one of a series sponsored by the American Heart Association, edited by C. Richard Conti, MD.

Reprint requests to Department of Medicine, The Johns Hopkins University School of Medicine, 601 N Broadway, Baltimore, MD 21205 (Dr Greene).


JAMA. 1978;240(3):258-260. doi:10.1001/jama.1978.03290030076031
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Intracardiac ECG recording and stimulation are useful to evaluate conduction block, bradyarrhythmias, and tachyarrhythmias whose importance or mechanisms are uncertain from a surface ECG in the symptomatic patient. The technique is safe, with only rare complications. The response to medication can be tested during the procedure, helping to maximize the response to medical therapy.

(JAMA 240:258-260, 1978)

REFERENCES

Scheinman M, Weiss A, Kunkel F:  His bundle recordings in patients with bundle branch block and transient neurologic symptoms . Circulation 48:322-330, 1973;.
Atkins JM, Leshin SJ, Blomquist G, et al:  Ventricular conduction blocks and sudden death in acute myocardial infarction: Potential indications for pacing . N Engl J Med 288:281-284, 1973;.
Lie KI, Wellens HJ, Schuilenburg RM, et al:  Factors influencing prognosis of bundle branch block complicating acute antero-septal infarction: The value of His bundle recordings . Circulation 50:935-941, 1974;.
Dhingra RC, Denes P, Wu D, et al:  Prospective observations in patients with chronic bundle branch block and marked HV prolongation . Circulation 53:600-604, 1976;.
Svenson RH, Gallagher JJ, Sealy WC, et al:  An electrophysiologic approach to the surgical treatment of the Wolff-Parkinson-White Syndrome: Report of two cases utilizing catheters recording and epicardial mapping techniques . Circulation 49:799-804, 1974;.
Reiffel JA, Bigger JT, Cramer M, et al:  Ability of Holter electrocardiographic recording and atrial stimulation to detect sinus nodal dysfunction in symptomatic and asymptomatic patients with sinus bradycardia . Am J Cardiol 40:189-194, 1977;.

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Scheinman M, Weiss A, Kunkel F:  His bundle recordings in patients with bundle branch block and transient neurologic symptoms . Circulation 48:322-330, 1973;.
Atkins JM, Leshin SJ, Blomquist G, et al:  Ventricular conduction blocks and sudden death in acute myocardial infarction: Potential indications for pacing . N Engl J Med 288:281-284, 1973;.
Lie KI, Wellens HJ, Schuilenburg RM, et al:  Factors influencing prognosis of bundle branch block complicating acute antero-septal infarction: The value of His bundle recordings . Circulation 50:935-941, 1974;.
Dhingra RC, Denes P, Wu D, et al:  Prospective observations in patients with chronic bundle branch block and marked HV prolongation . Circulation 53:600-604, 1976;.
Svenson RH, Gallagher JJ, Sealy WC, et al:  An electrophysiologic approach to the surgical treatment of the Wolff-Parkinson-White Syndrome: Report of two cases utilizing catheters recording and epicardial mapping techniques . Circulation 49:799-804, 1974;.
Reiffel JA, Bigger JT, Cramer M, et al:  Ability of Holter electrocardiographic recording and atrial stimulation to detect sinus nodal dysfunction in symptomatic and asymptomatic patients with sinus bradycardia . Am J Cardiol 40:189-194, 1977;.
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