Mechanism of QRS electrical alternans.

Brembilla-Perrot, B; Lucron, H; Schwalm, F; Haouzi, A · Heart · 1997

case_report · Level V

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Abstract

In patients with latent dual atrioventricular nodal pathways a 2:1 ventriculoatrial block often occurs during ventricular pacing and is generally associated with the concomitant appearance of QRS alternans. This type of QRS alternans is related to retrograde conduction, and a concealed retrograde conduction in the His Purkinje system could explain the QRS alternans. A case that confirms the hypothesis that electrical alternans is secondary to a 2:1 block in the activation of some part of the ventricles is reported.

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