An electrode cardiac catheter positioned across the tricuspid valve successfully recorded extracellular action potentials of the A-V node, His bundle, and right bundle branch in human subjects.
Observational
Extracellular action potentials of the A-V node (N), His bundle (H), and right bundle branch (RB) were recorded in subjects with an electrode cardiac catheter which was fluoroscopically positioned across the tricuspid valve. The N potential is a slow diphasic wave occurring between the atrial electrogram (P) and the H potential. It is characterized by slurring or notching on the upstroke. The H potential, as previously described, is a biphasic or triphasic wave of 15 to 20-msec duration. The RB potential is a fast biphasic wave of 10 to 20-msec duration occurring between the H potential and the Q wave. During single atrial pacing and premature atrial stimulation, the A-V conduction delay could be localized to the N-H interval. Evidence suggests that during aberrant ventricular conduction of the right bundle-branch block type the impulse was blocked proximally in the right bundle. During concealed conduction the nonconducted impulse was completely blocked within the A-V node or the N-H interval.
Damato et al. (Tue,) conducted a observational in Cardiac conduction. Electrode cardiac catheter recording was evaluated on Extracellular action potentials of the A-V node, His bundle, and right bundle branch. An electrode cardiac catheter positioned across the tricuspid valve successfully recorded extracellular action potentials of the A-V node, His bundle, and right bundle branch in human subjects.