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Noninvasive recording of the His bundle electrogram in neonates

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Summary

Twenty-seven normal, nonsedated neonates had high-resolution electrocardiography performed during the first four days of life. Using high amplification, analogue and digital filters, and signal averaging, easily defined His bundle deflections of 0.75–7.75 (mean 2.5) μV were detected in 25 (92.6%) of the 27 babies. The PH interval was 60–105 (mean 83) ms and the HV interval 10–25 (mean 17) ms. Surface His bundle electrocardiography is easily performed in the neonate and, as might be predicted, conduction intervals are considerably shorter than those seen in older age groups.

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References

  1. Berbari EJ, Lazzara R, Samet P, Scherlag BJ (1973) Noninvasive technique for detection of electrical activity during the P-R segment.Circulation 48:1005–1013

    CAS  PubMed  Google Scholar 

  2. Berbari EJ, Lazzara R, El-Sherif N, Scherlag BJ (1975) Extracardiac recordings of His-Purkinje activity during conduction disorders and junctional rhythms.Circulation 51:802–810

    CAS  PubMed  Google Scholar 

  3. Berbari EJ, Scherlag BJ, Lazzara R (1977) A computerized technique to record new components of the electrocardiogram.Proc IEEE 65:799–802

    Google Scholar 

  4. Breithardt G, Borggrefe M, Karbenn U, Abendroth R-R, Yeh H-L, Seipel L (1982) Prevalence of late potentials in patients with and without ventricular tachycardia: correlation with angiographic findings.Am J Cardiol 49:1932–1937

    CAS  PubMed  Google Scholar 

  5. Damato AN, Lau SH, Helfant RH, Stein E, Berkowitz WD, Cohen SI (1969) Study of atrioventricular conduction in man using electrode catheter recordings of His bundle activity.Circulation 39:287–296

    CAS  PubMed  Google Scholar 

  6. Flowers NC, Shvartsman V, Kennelly BM, Sohi GS, Horan LG (1981) Surface recording of His-Purkinje activity on an every-beat basis without digital averaging.Circulation 63:948–952

    CAS  PubMed  Google Scholar 

  7. Fontaine G, Gallais-Hamano F, Frank R, Grosgogeat Y (1977) Methode d'enregistrement du faisceau de His par voie externe.Nouv Presse Med 6:3433

    CAS  PubMed  Google Scholar 

  8. Furness A, Sharratt GP, Carson P (1975) The feasibility of detecting His-bundle activity from the body surface.Cardiovasc Res 9:390–396

    CAS  PubMed  Google Scholar 

  9. Garson A (1981) Ventricular dysrhythmias. In: Gillette PC, Garson A (eds)Pediatric cardiac dysrhythmias. Grune and Stratton, New York, pp 311–319

    Google Scholar 

  10. Gillette PC and Garson A (1981)Pediatric cardiac dysrhythmias. Grune and Stratton, New York, p 454

    Google Scholar 

  11. Hombach V, Braun V, Hopp H-W, Gil-Sanchez D, Scholl H, Behrenbeck DW, Tauchert M, Hilger HH (1982) The applicability of the signal averaging technique in clinical cardiology.Clin Cardiol 5:107–124

    CAS  PubMed  Google Scholar 

  12. Josephson ME and Seides SF (1979)Clinical cardiac electrophysiology: techniques and interpretations. Lea and Febiger, Philadelphia, pp 79–118

    Google Scholar 

  13. McKenna WJ, Rowland E, Mortara D, Divers T, Krikler DM (1981) Noninvasive recording of the His bundle electrogram: value of supplementary verapamil.PACE 4:281–288

    CAS  PubMed  Google Scholar 

  14. Narula OS, Cohen LS, Samet P, Lister JW, Scherlag B, Hildner FJ (1970) Localization of A-V conduction defects in man by recording of the His bundle electrogram.Am J Cardiol 25: 228–237

    Article  CAS  PubMed  Google Scholar 

  15. Pedersen DH, Zipes DP, Foster PR, Troup PJ (1979) Ventricular tachycardia and ventricular fibrillation in a young population.Circulation 60:988–997

    CAS  PubMed  Google Scholar 

  16. Roberts NK (1975)The cardiac conducting system and the His bundle electrogram. Appleton-Century-Crofts, New York, pp 49–56

    Google Scholar 

  17. Rozanski JJ, Castellanos A (1980) Clinical evaluation of an improved high resolution ECG cart for recording the His bundle electrogram non-invasively.PACE 3:479–484

    CAS  PubMed  Google Scholar 

  18. Scherlag BJ, Lau SH, Helfant RH, Berkowitz WD, Stein E, Damato AN (1969) Catheter technique for recording His bundle activity in man.Circulation 39:13–18

    CAS  PubMed  Google Scholar 

  19. Simson MB (1981) Use of signals in the terminal QRS complex to identify patients with ventricular tachycardia after myocardial infarction.Circulation 64:235–242

    CAS  PubMed  Google Scholar 

  20. Vincent R, Stroud NP, Jenner R, English MJ, Woollons DJ, Chamberlain DA (1978) Noninvasive recording of electrical activity in the PR segment in man.Br Heart J 40:124–130

    CAS  PubMed  Google Scholar 

  21. Vincent R, English MJ, Mackintosh AF, Stroud N, Chamberlain DA, Woollons DJ (1980) A flexible signal-averaging system for cardiac waveforms.J Biomed Eng 2:15–24

    CAS  PubMed  Google Scholar 

  22. Wajszczuk WJ, Moskowitz MS, Bauld T, Dabos P, Weiss R, Rubenfire M (1978) Noninvasive external recording of cardiac conduction system (His bundle) activity.Med Instrum 12:282–287

    CAS  PubMed  Google Scholar 

  23. Wajszczuk WJ, Stopczyk MJ, Moskowitz MS, Zochowski RJ, Bauld T, Dabos PL, Rubenfire M (1978) Noninvasive recording of His-Purkinje activity in man by QRS-triggered signal averaging.Circulation 58:95–102

    CAS  PubMed  Google Scholar 

  24. Walls EW (1964) The blood vascular and lymphatic systems. In: Romanes GJ (ed)Cunningham's textbook of anatomy. Oxford University Press, London, p 855

    Google Scholar 

  25. Waxman HL, Sung RJ (1980) Significance of fragmented ventricular electrograms observed using intracardiac recording techniques in man.Circulation 62:1349–1356A0946017 00003 CS-SPJRNPDF [HEADSUP]

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiology, St Bartholomew's Hospital, London, UK

    Anthony W. Nathan, Rodney S. Bexton, Arthur M. Levy, Neelam Parmar & A. John Camm

Authors
  1. Anthony W. Nathan
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  2. Rodney S. Bexton
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  3. Arthur M. Levy
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  4. Neelam Parmar
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  5. A. John Camm
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Additional information

A.W.N. and A.J.C. are supported by the British Heart Foundation.

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Nathan, A.W., Bexton, R.S., Levy, A.M. et al. Noninvasive recording of the His bundle electrogram in neonates. Pediatr Cardiol 5, 7–12 (1984). https://doi.org/10.1007/BF02306741

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