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Topic: Atrioventricular node


  
 MCOMSDOCTORS NETWORK - ECG SVT
Most commonly, there is 2:1 conduction between the atrium and the ventricle; however, there may be 4:1 or 6:1 conduction when there is conduction delay or block within the atrioventricular node such as with drugs or enhanced vagal tone.
The atrial rate in atrial flutter is generally 260 to 320 when no cardiac drug therapy is being administered.
However, when this occurs, it is often due to dual atrioventricular nodal pathways and two levels of nodal blockade.
http://mcomsdoctors.8m.com/ecgsvt.html

  
 THE MERCK MANUAL, Sec. 16, Ch. 205, Arrhythmias
Carotid sinus massage will slow or block atrioventricular nodal conduction, exposing the underlying atrial arrhythmia and suggesting that the atrioventricular node is not an integral part of the arrhythmia circuit.
The mechanism may be that drugs that block atrioventricular nodal conduction force conduction over the accessory pathway and reduce retrograde concealed penetration of the accessory pathway, thereby further enhancing or releasing accessory pathway conduction capacity.
Digoxin is contraindicated in all other circumstances because it may shorten atrial and accessory pathway refractory periods and encourage development of VF.
http://www.merck.com/mrkshared/mmanual/section16/chapter205/205g.jsp

  
 Atrioventricular Nodal Conduction Gap and Dual Pathway Electrophysiology -- Mazgalev and Tchou 92 (9): 2705 -- ...
Selective radiofrequency ablation of the slow pathway for the treatment of atrioventricular nodal reentrant tachycardia: evidence for involvement of perinodal myocardium within the reentrant circuit.
Atrioventricular Nodal Conduction Gap and Dual Pathway Electrophysiology -- Mazgalev and Tchou 92 (9): 2705 -- Circulation
Atrioventricular Nodal Conduction Gap and Dual Pathway Electrophysiology
http://circ.ahajournals.org/cgi/content/full/92/9/2705

  
 Catheter ablation for cardiac arrhythmias -- Peters 321 (7263): 716 -- BMJ
Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction: final results of a prospective, multicenter clinical trial.
There are well developed techniques using catheter ablation that can reliably cure arrhythmias such as atrioventricular junctional
Catheter ablation of accessory atrioventricular pathways (Wolff-Parkinson-White syndrome) by radiofrequency current.
http://www.bmj.com/cgi/content/full/321/7263/716

  
 Bradycardia
Programmed stimulation test can be used to assess refractory periods and responses to changes in atrial rate.
When bradycardia occurs only in specific situations, patient education and prevention strategies should be tried first.
Wide QRS escape rhythms at slower rates imply that the block is located in the His-Purkinje system.
http://enotes.tripod.com/bradycardia.htm

  
 Gray's Anatomy - The Heart - Yahoo! Reference
The deep layers are three in number; they arise in the papillary muscles of one ventricle and, curving in an S-shaped manner, turn in at the longitudinal sulcus and end in the papillary muscles of the other ventricle.
The nerves, although not concerned in originating the contractions of the heart muscle, play an important role in regulating their force and frequency in order to subserve the physiological needs of the organism.
The more embryonic the muscle the better is it able to initiate and propagate the contraction wave; this explains why the normal systole of the heart starts at the entrance of the veins, for there the muscle is most embryonic in nature.
http://messenger.yahooligans.com/reference/gray/138.html

  
 eMedicine - Supraventricular Tachycardia, Atrioventricular Node Reentry : Article by Robert Hamilton, MD
Medicine is a constantly changing science and not all therapies are clearly established.
The fast pathway is identified by its short conduction time and long effective refractory period (ERP), whereas the slow pathway has longer conduction time and an ERP that typically is relatively short compared to fast pathway ERP.
Ideally, as with most tachycardias in children, transfer should take place after successful conversion has been achieved.
http://www.emedicine.com/ped/topic2535.htm

  
 Atrioventricular nodal ablation and implantation of mode switching dual chamber pacemakers: effective treatment for ...
Figure 2 Individual psychological general wellbeing sores before and six weeks after atrioventricular node ablation.
Third degree atrioventricular block was easily achieved in all patients with no complications, and was maintained at follow
Brignole et al have addressed this in a short term study of a
http://heart.bmjjournals.com/cgi/content/full/79/6/543

  
 eMedicine - Atrioventricular Block : Article by Wojciech Zareba, MD, PhD, FACC
Patients with corrected transposition of the great vessels have anterior displacement of the AV node and are prone to develop complete heart block during right heart catheterization or surgical manipulation.
Strasberg B, Amat-Y-Leon F, Dhingra RC: Natural history of chronic second-degree atrioventricular nodal block.
The latter usually is observed in more advanced conduction disturbances such as Mobitz II AV block.
http://www.emedicine.com/med/topic189.htm

  
 ABC of clinical electrocardiography: Junctional tachycardias -- Esberger et al. 324 (7338): 662 -- BMJ
The slow pathway has a short refractory period and recovers first.
common pathway through the lower part of the atrioventricular
This type of "slow-fast" re-entry circuit is found in 90% of patients with atrioventricular nodal re-entrant tachycardia.
http://bmj.bmjjournals.com/cgi/content/full/324/7338/662

  
 Connexin45, a Major Connexin of the Rabbit Sinoatrial Node, Is Co-expressed with Connexin43 in a Restricted Zone at the ...
The framed areas represent the positions from which high-magnification views are presented in subsequent figures.
The second distinctive pattern, in contrast to these clearly
For orientation of the areas of the preparation from which these fields are taken, refer to Figure 4.
http://www.jhc.org/cgi/content/full/47/7/907

  
 NEJM -- Long-Term Survival after Ablation of the Atrioventricular Node and Implantation of a Permanent Pacemaker in ...
to drug therapy, radio-frequency ablation of the atrioventricular
Methods We studied all patients who underwent ablation of the
Long-Term Survival after Ablation of the Atrioventricular Node and Implantation of a Permanent Pacemaker in Patients with Atrial Fibrillation
http://content.nejm.org/cgi/content/abstract/344/14/1043

  
 Conduction System
These pathways curve through the atrial walls and terminate in the atrioventricular bundle (refer to anatomy of conduction system).
These pathways also conduct the impulse at a faster rate.
The ends of the sinoatrial node fibers fuse with the surrounding atrial muscle fibers, and action potentials originating in the sinus node travel outward into these fibers.
http://oak.cats.ohiou.edu/~jr888793/conduction.html

  
 Atrioventricular node - Medical Dictionary definitions of popular medical terms
This quick response is important during exercise when the heart has to increase its beating speed to keep up with the body's increased demand for oxygen.
Atrioventricular node - Medical Dictionary definitions of popular medical terms
This stunningly designed system generates electrical impulses and conducts them throughout the muscle of the heart, stimulating the heart to contract and pump blood.
http://www.medterms.com/script/main/art.asp?articlekey=2387

  
 Cellular Basis for the Negative Dromotropic Effect of Adenosine on Rabbit Single Atrioventricular Nodal Cells -- Wang ...
Observations upon conduction in the mammalian heart: AV conduction.
in treatment of supraventricular tachycardias in which the AV node is part of a reentrant pathway.
Articles by Wang, D. Articles by Belardinelli, L. Circulation Research.
http://www.circresaha.org/cgi/content/full/78/4/697

  
 Mechanism of atrioventricular nodal facilitation in rabbit heart: role of proximal AV node -- Mazgalev et al. 273 (4): ...
Alternation of atrioventricular nodal conduction time during atrioventricular reentrant tachycardia: are dual pathways necessary?
The phenomenon of atrioventricular (AV) nodal "facilitation," described in traditional "black box"-functional studies, implies
Mechanism of atrioventricular nodal facilitation in rabbit heart: role of proximal AV node -- Mazgalev et al.
http://ajpheart.physiology.org/cgi/content/full/273/4/H1658

  
 The Sun Herald 04/22/2004 WPW rarely fatal in modern era
A: In WPW an extra or accessory pathway exists, one of these, called a Kent bundle in which conduction occurs rapidly from the atria to the ventricles, bypassing the normal organized pathway allowing the development of rapid heart arrhythmias or rhythm that can conduct at high speeds.
The left ventricle contracts and oxygenated blood is sent to the rest of the body.
Electrical conduction in the heart is initiated by special cells in an area of the upper right atrium called the sino-atrial node (SA) node.
http://www.sunherald.com/mld/thesunherald/living/8488934.htm

  
 Nkx2-5 mutation causes anatomic hypoplasia of the cardiac conduction system -- Jay et al. 113 (8): 1130 -- Journal of ...
the anatomy or structure of the atrioventricular septum that
A murine model of Holt-Oram syndrome defines roles of the T-box transcription factor Tbx5 in cardiogenesis and disease.
changes of AV node physiology in association with hypoplasia
http://www.jci.org/cgi/content/full/113/8/1130

  
 atrioventricular node (av node)
Aging changes in the human atrioventricular node, bundle, and bundle branches.
Differential developmental effects of acute hypoxia on the rabbit atrioventricular conduction axis.
http://www.arclab.org/node_pages/348.html

  
 MedlinePlus Medical Encyclopedia: Paroxysmal supraventricular tachycardia (PSVT)
The signal is conducted through the atria (the upper heart chambers) and stimulates the atria to contract.
Paroxysmal supraventricular tachycardia (PSVT) can be initiated in the SA node; in the atria or the atrial conduction pathways; or in the AV node.
The electrical signal then passes through the atrioventricular node (AV node), and travels through the ventricles (the larger, lower chambers), stimulating them to contract.
http://www.nlm.nih.gov/medlineplus/ency/article/000183.htm

  
 Atrioventricular node - Wikipedia, the free encyclopedia
This page was last modified 18:40, 23 Dec 2004.
The atrioventricular node (abbreviated AV node) is the tissue between the
Cardiac pacemaker - Sinoatrial node - Atrioventricular node - Heart valves
http://en.wikipedia.org/wiki/AV_node

  
 Virtual Cath Lab
atrioventricular node, or AV node, is made up of another cluster of specialized cardiac conduction system cells.
The AV node forms a pathway for impulse conduction that bridges between the atria and ventricles.
This causes a delay in the transmission of the depolarization wave to the ventricles.
http://user.gru.net/clawrence/vccl/chpt2/ATRIO.htm

  
 The Bristol Press - News - 12/25/2004 - Bit of frostbite can help heart
The heart works fine as long as the muscle cells receive the right signals from a bundle of nerves over the right atrium called the sinus node.
However, abnormal heart cells sometimes issue their own signals or can loop back on the sinus node.
An electrical conduction circuit of nerves opens and closes valves and constricts the four chambers in precisely the right order about 70 times a minute in a person at rest.
http://www.zwire.com/site/news.cfm?newsid=13624483&BRD=1643&PAG=461&dept_id=10486&rfi=6

  
 Optical mapping of atrioventricular node reveals a conduction barrier between atrial and nodal cells -- Choi and Salama ...
This study describes data from nine experimental groups of rabbit AV node preparations for a total of 44 hearts.
Orientation of array relative to AV node zone was arbitrary but was kept the same for all experiments shown.
Note that conduction across posterior segment of node was TTX insensitive, whereas conduction through anterior segment slowed markedly, supporting interpretation that these responses originated from His bundle.
http://ajpheart.physiology.org/cgi/content/full/274/3/H829

  
 From the Cover: Slowed conduction and ventricular tachycardia after targeted disruption of the cardiac sodium channel ...
Far-field atrial pacing stimulation artifacts (S1) and resulting ventricular electrograms are shown.
To assess atrioventricular conduction the atria were not removed, and the stimulating electrodes were attached to the right
ECGs and atrioventricular conduction in wild-type and Scn5a
http://www.pnas.org/cgi/content/full/99/9/6210

  
 Atrioventricular node conduction block information Diseases Database
Atrioventricular node conduction block to medical search engines.
If your browser has no JavaScript you can still use these:
http://www.diseasesdatabase.com/ddb10477.htm

  
 Three-Dimensional Reconstruction of the Rabbit Atrioventricular Conduction Axis by Combining Histological, Desmin, and ...
Copyright © 2004 by the American Heart Association.
Background— The 3D structure of the atrioventricular conduction
demonstrates that the atrioventricular conduction axis is segregated
http://www.circulationaha.org/cgi/content/abstract/109/9/1172

  
 Encyclopedia4U - Walter Karl Koch - Encyclopedia Article
Walter Karl Koch was a German surgeon ( Dortmund, Germany, May 3 1880 - ?
After being named a professor in 1922, he worked as head of department at the Krankenhaus Westend.
), best known for the Tawara's node, the atrioventricular node which is the beginning of his bundle about the auricular-ventricular.
http://www.encyclopedia4u.com/w/walter-karl-koch.html

  
 Exam
Produced by closure of atrioventricular valves (AV valves)
Match the letters of the following functions/descriptions with their "Terms":
Produced by closure of semilunar valves (SL valves)
http://www.linkpublishing.com/cgi-bin/ie.cgi?exam=chap27p.exm

  
 Adenosine A1 Receptor-Dependent and -Independent Effects of the Allosteric Enhancer PD 81,723 -- Musser et al. 288 (2): ...
Clemo HF and Belardinelli L (1986) Effect of adenosine on atrioventricular conduction.
Site and characterization of adenosine action in the guinea pig atrioventricular node.
http://www.jpet.org/cgi/content/full/288/2/446

  
 Atrioventricular Block
This is one page of 28 in this chapter, 294 in this book, and 4534 in the Family Practice Notebook.
Impaired conduction in Atria, AV node or His-Purkinje
http://www.fpnotebook.com/CV11.htm

  
 Ablate and pace revisited: long term survival and predictors of permanent atrial fibrillation -- Queiroga et al. 89 ...
after atrioventricular (AV) node ablation for drug refractory
Patients: Patients admitted to the University Hospital Birmingham
Interventions: AV node ablation and dual chamber mode switching
http://heart.bmjjournals.com/cgi/content/abstract/89/9/1035

  
 Nitric Oxide Signaling Mediates Stimulation of L-Type Ca2+ Current Elicited by Withdrawal of Acetylcholine in Cat ...
This mechanism is thought to contribute to accentuated antagonism,
elicited by ACh withdrawal stimulates SA node pacemaker cell rate (Wang and Lipsius, 1996
in the sinoatrial node (Han et al., 1995
http://www.jgp.org/cgi/content/full/111/1/113

  
 Heart and Stroke Encyclopedia
A-V Block or AV Block, First Degree — see Heart Block
A-V Node or AV Node (Atrioventricular Node) — see Heart Block ; Radiofrequency Ablation
Atrioventricular Canal Defect (A-V or AV Canal Defect) — see Congenital Cardiovascular Defects
http://www.americanheart.org/presenter.jhtml?identifier=10000056

  
 The AV junction region of the heart: a comprehensive study correlating gross anatomy and direct three-dimensional ...
atrial arrhythmia; atrioventricular node; atrioventricular node reentrant tachycardia; triangle of Koch; conduction; catheter ablation; electrophysiology; His bundle; dual atrioventricular node physiology; potentials
and transverse serial sections of the entire atrioventricular
http://ajpheart.physiology.org/cgi/content/abstract/286/5/H1853

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