His-bundle electrogram in the convalescent stage of inferior myocardial infarction complicated with complete A-V block

J Electrocardiol. 1982 Apr;15(2):127-30. doi: 10.1016/s0022-0736(82)80005-8.

Abstract

Twelve patients with inferior wall myocardial infarction complicated with complete atrioventricular block during the acute stage were studied. The His-bundle electrogram was studied in the convalescent stage at an average of 6 months after the acute attack. The age of the patients was 62 +/- 16 years. The width of the QRS complex was within the normal range and the PR interval was less than 200 msec. AH time was 74 +/- 18 msec (mean +/- SD). No split H activity was observed. HV time however, was significantly prolonged in the 12 patients; 54 +/- 12 msec vs. 42 +/- 9 msec in the control group (p less than 0.02). Five patients had HV time equal to or more than 60 msec. Intra-His block was suggested to exist in a high frequency in the patients who had previous complete AV block during the acute stage of myocardial infarction of the inferior wall.

MeSH terms

  • Blood Pressure
  • Bundle of His / physiopathology*
  • Cardiac Pacing, Artificial
  • Convalescence
  • Electrocardiography*
  • Heart Block / complications*
  • Heart Block / physiopathology
  • Heart Block / therapy
  • Heart Conduction System / physiopathology*
  • Heart Rate
  • Humans
  • Myocardial Infarction / complications*
  • Myocardial Infarction / physiopathology