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Chest, Vol 94, 650-652, Copyright © 1988 by American College of Chest Physicians

ARTICLES

Two-to-one sinoatrial block. Normalization by carotid massage

L Littmann, J Tenczer and RH Svenson
3rd Department of Medicine, Semmelweis University Medical School, Budapest, Hungary.

In a clinical case of 2:1 sinoatrial block, carotid massage, paradoxically, released the sinoatrial block and doubled the manifest sinus rate. This resulted from a deceleration of the sinus discharge rate which allowed consecutive sinus impulses to traverse the sinoatrial junction.




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Copyright © 1988 by the American College of Chest Physicians.