Cited by 106Cardiac electrophysiology and arrhythmiasCardiac pacing and defibrillation studiesCardiac Arrhythmias and Treatments

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Exercise-induced distal atrioventricular block

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Woelfel, Alan K., Simpson, Ross J., Gettes, Leonard S., Foster, James R.·1983·Journal of the American College of Cardiology

Abstract

Three patients with 1:1 atrioventricular (AV) conduction at rest developed fixed 2:1 or 3:1 AV block during treadmill exercise testing. Electrophysiologic study documented block distal to the AV node in all three patients, and suggested that the exercise-induced block occurred because of increased atrial rate and abnormal refractoriness of the His-Purkinje conduction system. The findings in these three patients suggest that high grade AV block appearing during exercise reflects conduction disease of the His-Purkinje system rather than of the AV node, even in the absence of bundle branch block. Patients with this diagnosis should be considered for permanent cardiac pacing.

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Crossref · 10.1016/s0735-1097(83)80288-5

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Metadata

Authors
Woelfel, A. K., Simpson, R. J., Gettes, L. S., & Foster, J. R.
Affiliations
University of North Carolina at Chapel Hill (US)
Corresponding author
Foster, James R.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
1983-09
Volume
2
Issue
3
Pages
578-581
ISSN
0735-1097 (ISSN-L)
OpenAlex
W2076374966
Cited by
106
References
18
Citations by year
2026: 2 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 3 · 2019: 10 · 2018: 8 · 2017: 9 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 1
FWCI
0.73
Type
journal article
Language
en
Open access
Locations
  • Journal of the American College of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • UNC Libraries
Funders
National Institutes of Health
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Keywords
high-grade atrioventricular block, His-Purkinje system, cardiac conduction disorders, atrial rate, refractoriness, treadmill exercise testing, permanent cardiac pacing, bundle branch block
MeSH terms
Aged, Atrioventricular Node, Electrocardiography, Electrophysiology, Physical Exertion, Heart Block, Heart Conduction System, Humans, Male, Middle Aged

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