Abstract
In a case of atrial flutter with a 9:2 atrioventricular response, the only possible way to explain the conduction pattern was 3:1 block in the atrioventicular node (which is 3:2 Wenckebach sequence in the N zone and a 2:1 block at the junction of the node with the bundle of His) plus 3:2 Wenckebach sequence distal to the H deflection. The recording of the His bundle deflection confirmed this analysis.
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Selected References
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- Slama R., Leclercq J. F., Rosengarten M., Coumel P., Bouvrain Y. Multilevel block in the atrioventricular node during atrial tachycardia and flutter alternating with Wenckebach phenomenon. Br Heart J. 1979 Oct;42(4):463–470. doi: 10.1136/hrt.42.4.463. [DOI] [PMC free article] [PubMed] [Google Scholar]