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(Chest. 1971;60:509-512.)
© 1971 American College of Chest Physicians

Pacemaker-Induced Supernormal Atrioventricular Conduction

Dennis V. Cokkinos M.D.1; Louis L. Leatherman M.D.2; Robert D. Leachman M.D., F.C.C.P.3; and Robert J. Hall M.D.4

1 Fellow in Cardiology, Saint Luke's Episcopal Hospital, Houston, Texas
2 Attending Cardiologist, Saint Luke's Episcopal Hospital, Houston, Texas
3 Chief, Cardiology Laboratory, Saint Luke's Episcopal Hospital and Texas Heart Institute, Houston, Texas
4 Chief, Cardiology Service, St. Luke's Hospital and Medical Director, Texas Heart Institute, Houston, Texas

Atrioventricular conduction occurred intermittently in a patient paced for complete heart block produced by inferior myocardial infarction. Atrial stimuli were conducted to the ventricles only when they occurred 320 to 360 msec after the spike of the right ventricular endocardial pacemaker. This phenomenon is attributed to the production of supernormal atrioventricular conduction by the pacemaker induced beats.







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