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Atrioventricular and Intraventricular Conduction Disease

Atrioventricular and Intraventricular Conduction Disease Abstract The anatomic bases of the electrocardiographic abnormalities atrioventricular and intraventricular block have been subjects of considerable study during the last 25 years.1-24 This report reviews the advances made during this period. ATRIOVENTRICULAR BLOCK Permanent, complete atrioventricular block is almost always associated with lesions in the conduction system.1,2,5,11,18Atrioventricular block is associated with many conditions11: coronary heart disease, hypertension, congenital heart disease, myocarditis, rheumatic heart disease, syphilitic heart disease, aortic valvular disease, infectious endocarditis, rheumatoid heart disease, collagen diseases, tumors, trauma, and other miscellaneous states and diseases. In addition, there is the very important type of primary heart block or sclerosis of the left side of the cardiac skeleton. Coronary Heart Disease Atrioventricular block in this disease may be acute or chronic.1,2,7,9,10,19 The acute type is associated with an acute myocardial infarction, either of the posteroseptal or anteroseptal type. The chronic type is associated with chronic References 1. Davies MJ: Pathology of Conducting Tissue of the Heart . New York, Appleton-Century-Crofts, 1971. 2. Rossi L: Histopathologic Features of Cardiac Arrhythmias . Milan, Italy, Casa Editrice Ambrosiana, 1969. 3. Rosenbaum MB, Elizari MV, Lazzari JO: The Hemiblocks . Oldsmar, Fla, Tampa Tracings, 1970. 4. Lenègre J: Contribution à l'Étude des Blocs de Branche . Paris, JB Baillière et Fils, 1958. 5. Lenègre J: Les lesions du système de His-Tawara dans les blocs auriculo-ventriculaires d'un haut degré. Cardiologia 46:261-267, 1965.Crossref 6. Knieriem HJ, Effert S: Morphologische Befunde beim kompletten Herzblock. Klin Wochenschr 44:349-360, 1966.Crossref 7. Blondeau M, Rizzon P, Lenègre J: Les troubles de la conduction auriculoventriculaire dans l'infarctus myocardique récent: II. Étude anatomique. Arch Mal Coeur 54:1104-1117, 1961. 8. Lenègre J: Etiology and pathology of bilateral bundle branch block in relation to complete heart block. Prog Cardiovasc Dis 6:409-444, 1963-4.Crossref 9. James TN: The coronary circulation and conduction system in acute myocardial infarction. Prog Cardiovasc Dis 10:410-449, 1968.Crossref 10. Harper JR, Harley A, Hackel DB, et al: Coronary artery disease and major conduction disturbances: A pathologic study designed to correlate abnormalities with electrocardiogram. Am Heart J 77:411-422, 1969.Crossref 11. Lev M: The pathology of atrioventricular block. Cardiovasc Clin 4:159-186, 1972. 12. Lev M: Pathogenesis of congenital atrioventricular block. Prog Cardiovasc Dis 15:145-157, 1972.Crossref 13. James TN, Rupe CE, Monto RW: Pathology of the cardiac conduction system in systemic lupus erythematosus. Ann Intern Med 63:402-410, 1965.Crossref 14. Glomset DJ, Birge RF: A morphologic study of the cardiac conduction system: V. The pathogenesis of heart block and bundle branch block. Arch Pathol 45:135-170, 1948. 15. Sanabria T: Étude anatomo-pathologique du bloc de branche: Rapports entre l'image électrocardiographique et l'aspect microscopique du système de His-Tawara. Acta Cardiol 8:145-162, 1953. 16. Titus JL, Daugherty GW, Kirklin JW, et al: Lesions of the atrioventricular conduction system after repair of ventricular septal defect: Relation to heart block. Circulation 28:82-88, 1963.Crossref 17. Visioli 0, Baragan J, Lenègre J: Les voies de la conduction intracardiaque dans des cardiopathies par anomalie congénitale du septum: Étude anatomique. Arch Mal Coeur 55:1024-1041, 1962. 18. Lev M: The normal anatomy of the conduction system in man and its pathology in atrioventricular block. Ann NY Acad Sci 111:817-829, 1964.Crossref 19. Lev M, Kinare SG, Pick A: The pathogenesis of atrioventricular block in coronary disease. Circulation 42:409-425,1970.Crossref 20. Unger PN, Lesser ME, Kugel VH, et al: The concept of "masquerading" bundlebranch block: An electrocardiographicpathologic correlation. Circulation 17:397-409, 1958.Crossref 21. Lev M, Unger PN, Lesser ME, et al: Pathology of the conduction system in acquired heart disease: Complete right bundle branch block. Am Heart J 61:593-614, 1961.Crossref 22. Unger PN, Greenblatt M, Lev M: The anatomic basis of the electrocardiographic abnormality in incomplete left bundle branch block. Am Heart J 76:486-497, 1968.Crossref 23. Lev M, Unger PN, Rosen KM, et al: Anatomic base of left bundle branch block. Circulation 50:479-486, 1974.Crossref 24. Blondeau M, Lenègre J: Bloc Atypique de la Branche Droite . Paris, Masson et Cie, 1970. 25. Demoulin JC, Kulbertus HE: Histohemiblock.al examination of concept of left hemiblock. Br Heart J 34:807-814, 1972.Crossref 26. Rosen KM, Rahimtoola SH, Gunnar RM, et al: Site of heart block as defined by His bundle recording: Pathologic correlations in three cases. Circulation 45:965-987, 1972.Crossref 27. Rosen KM, Rahimtoola SH, Bharati S, et al: Bundle branch block with intact atrioventricular conduction: Electrophysiologic and pathologic correlations in three cases. Am J Cardiol 32:783-793, 1973.Crossref 28. Bharati S, Lev M, Wu D, et al: Pathophysiologic correlations in two cases of split His bundle potentials. Circulation 49:615-623, 1974.Crossref 29. Hunt D, Lie JT, Vohra J, et al: Histopathology of heart block complicating acute myocardial infarction. Circulation 48:1252-1261, 1973.Crossref 30. Lev M, et al: Lack of connection between the atria and the more peripheral conduction system in congenital atrioventricular block. Am J Cardiol 27:481-490, 1970.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Atrioventricular and Intraventricular Conduction Disease

Archives of Internal Medicine , Volume 135 (3) – Mar 1, 1975

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1975.00330030055006
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Abstract

Abstract The anatomic bases of the electrocardiographic abnormalities atrioventricular and intraventricular block have been subjects of considerable study during the last 25 years.1-24 This report reviews the advances made during this period. ATRIOVENTRICULAR BLOCK Permanent, complete atrioventricular block is almost always associated with lesions in the conduction system.1,2,5,11,18Atrioventricular block is associated with many conditions11: coronary heart disease, hypertension, congenital heart disease, myocarditis, rheumatic heart disease, syphilitic heart disease, aortic valvular disease, infectious endocarditis, rheumatoid heart disease, collagen diseases, tumors, trauma, and other miscellaneous states and diseases. In addition, there is the very important type of primary heart block or sclerosis of the left side of the cardiac skeleton. Coronary Heart Disease Atrioventricular block in this disease may be acute or chronic.1,2,7,9,10,19 The acute type is associated with an acute myocardial infarction, either of the posteroseptal or anteroseptal type. The chronic type is associated with chronic References 1. Davies MJ: Pathology of Conducting Tissue of the Heart . New York, Appleton-Century-Crofts, 1971. 2. Rossi L: Histopathologic Features of Cardiac Arrhythmias . Milan, Italy, Casa Editrice Ambrosiana, 1969. 3. Rosenbaum MB, Elizari MV, Lazzari JO: The Hemiblocks . Oldsmar, Fla, Tampa Tracings, 1970. 4. Lenègre J: Contribution à l'Étude des Blocs de Branche . Paris, JB Baillière et Fils, 1958. 5. Lenègre J: Les lesions du système de His-Tawara dans les blocs auriculo-ventriculaires d'un haut degré. Cardiologia 46:261-267, 1965.Crossref 6. Knieriem HJ, Effert S: Morphologische Befunde beim kompletten Herzblock. Klin Wochenschr 44:349-360, 1966.Crossref 7. Blondeau M, Rizzon P, Lenègre J: Les troubles de la conduction auriculoventriculaire dans l'infarctus myocardique récent: II. Étude anatomique. Arch Mal Coeur 54:1104-1117, 1961. 8. Lenègre J: Etiology and pathology of bilateral bundle branch block in relation to complete heart block. Prog Cardiovasc Dis 6:409-444, 1963-4.Crossref 9. James TN: The coronary circulation and conduction system in acute myocardial infarction. Prog Cardiovasc Dis 10:410-449, 1968.Crossref 10. Harper JR, Harley A, Hackel DB, et al: Coronary artery disease and major conduction disturbances: A pathologic study designed to correlate abnormalities with electrocardiogram. Am Heart J 77:411-422, 1969.Crossref 11. Lev M: The pathology of atrioventricular block. Cardiovasc Clin 4:159-186, 1972. 12. Lev M: Pathogenesis of congenital atrioventricular block. Prog Cardiovasc Dis 15:145-157, 1972.Crossref 13. James TN, Rupe CE, Monto RW: Pathology of the cardiac conduction system in systemic lupus erythematosus. Ann Intern Med 63:402-410, 1965.Crossref 14. Glomset DJ, Birge RF: A morphologic study of the cardiac conduction system: V. The pathogenesis of heart block and bundle branch block. Arch Pathol 45:135-170, 1948. 15. Sanabria T: Étude anatomo-pathologique du bloc de branche: Rapports entre l'image électrocardiographique et l'aspect microscopique du système de His-Tawara. Acta Cardiol 8:145-162, 1953. 16. Titus JL, Daugherty GW, Kirklin JW, et al: Lesions of the atrioventricular conduction system after repair of ventricular septal defect: Relation to heart block. Circulation 28:82-88, 1963.Crossref 17. Visioli 0, Baragan J, Lenègre J: Les voies de la conduction intracardiaque dans des cardiopathies par anomalie congénitale du septum: Étude anatomique. Arch Mal Coeur 55:1024-1041, 1962. 18. Lev M: The normal anatomy of the conduction system in man and its pathology in atrioventricular block. Ann NY Acad Sci 111:817-829, 1964.Crossref 19. Lev M, Kinare SG, Pick A: The pathogenesis of atrioventricular block in coronary disease. Circulation 42:409-425,1970.Crossref 20. Unger PN, Lesser ME, Kugel VH, et al: The concept of "masquerading" bundlebranch block: An electrocardiographicpathologic correlation. Circulation 17:397-409, 1958.Crossref 21. Lev M, Unger PN, Lesser ME, et al: Pathology of the conduction system in acquired heart disease: Complete right bundle branch block. Am Heart J 61:593-614, 1961.Crossref 22. Unger PN, Greenblatt M, Lev M: The anatomic basis of the electrocardiographic abnormality in incomplete left bundle branch block. Am Heart J 76:486-497, 1968.Crossref 23. Lev M, Unger PN, Rosen KM, et al: Anatomic base of left bundle branch block. Circulation 50:479-486, 1974.Crossref 24. Blondeau M, Lenègre J: Bloc Atypique de la Branche Droite . Paris, Masson et Cie, 1970. 25. Demoulin JC, Kulbertus HE: Histohemiblock.al examination of concept of left hemiblock. Br Heart J 34:807-814, 1972.Crossref 26. Rosen KM, Rahimtoola SH, Gunnar RM, et al: Site of heart block as defined by His bundle recording: Pathologic correlations in three cases. Circulation 45:965-987, 1972.Crossref 27. Rosen KM, Rahimtoola SH, Bharati S, et al: Bundle branch block with intact atrioventricular conduction: Electrophysiologic and pathologic correlations in three cases. Am J Cardiol 32:783-793, 1973.Crossref 28. Bharati S, Lev M, Wu D, et al: Pathophysiologic correlations in two cases of split His bundle potentials. Circulation 49:615-623, 1974.Crossref 29. Hunt D, Lie JT, Vohra J, et al: Histopathology of heart block complicating acute myocardial infarction. Circulation 48:1252-1261, 1973.Crossref 30. Lev M, et al: Lack of connection between the atria and the more peripheral conduction system in congenital atrioventricular block. Am J Cardiol 27:481-490, 1970.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Mar 1, 1975

References