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February 1, 1972CirculationOpen Access

His Bundle Electrogram in Bundle-Branch Block

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Why the study?

Does His bundle electrogram recording improve the localization of conduction defects in patients with bundle-branch block?

Population

33 patients (20 with bundle-branch block and 13 without bundle-branch block)

Comparison

His bundle electrogram recording vs Patients without bundle-branch block

Design

Cohort

Authors

NRNoopur RanganathanTulane UniversityRDRaja W. DhurandharTulane UniversityJPJohn H. PhillipsRutgers, The State University of New Jersey

Discussion

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Implication

May identify occult contralateral delay missed by surface ECG in bundle-branch block; leaves open whether routine His recording refines risk stratification.

Structured PICO

Does His bundle electrogram recording improve the localization of conduction defects in patients with bundle-branch block?

P
Population
33 patients (20 with bundle-branch block and 13 without bundle-branch block)
I
Intervention
His bundle electrogram recording
C
Comparator
Patients without bundle-branch block
O
Outcome
Conduction intervals (P-R interval, H-V time) and localization of conduction delaysurrogate

His bundle electrograms provide critical diagnostic information for localizing conduction disturbances in patients with bundle-branch block, particularly in identifying contralateral bundle disease.

Cite This Study

Ranganathan et al. (1972) studied this question.

synapsesocial.com/papers/6a1febdd8fbc0747110da355https://doi.org/10.1161/01.cir.45.2.282
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Concept of "Masquerading" Bundle-Branch Block1958 · 80 citations
  2. 2Aetiology of chronic heart block. A clinico-pathological correlation in 65 cases.1969 · 111 citations
  3. 3COMPLETE HEART BLOCK1944 · 115 citations
  4. 4PATHOGENESIS OF BUNDLE BRANCH BLOCK1938 · 79 citations
  5. 5AURICULOVENTRICULAR HEART BLOCK DUE TO BILATERAL BUNDLE-BRANCH LESIONS1936 · 81 citations