Retrograde (Ventriculoatrial) Conduction in Congenital Complete Heart Block

PHILIP ZILO, JAY N. GROSS, CAROLYN A. ANDREWS, SEYMOUR FURMAN

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Retrograde ventriculoatrial (VA) conduction is documented at the time of dual chamber pacemaker Implantation in a 36‐year‐old patient with congenital complete atrioventricular (AV) block. Programmed ventricular stimulation with stimuli of increasing prematurity demonstrated a lack of decremental conduction via a unidirectional retrograde pathway. Because retrograde VA conduction has been associated with pacemaker mediated endless loop tachycardia, the status of retrograde conduction should be assessed in all patients undergoing dual chamber pacemaker implantation, including those with congenital complete AV block who have previously been considered to have no conductive tissue between atria and ventricles.

Original languageEnglish (US)
Pages (from-to)1538-1543
Number of pages6
JournalPacing and Clinical Electrophysiology
Volume14
Issue number10
DOIs
StatePublished - Oct 1991

Keywords

  • congenital complete heart block
  • implanted dual chamber pacemaker
  • retrograde conduction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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