Intracardiac electrography in children and young adults

• Published in: The American heart journal Vol. 89; no. 1; pp. 36 - 44
• Main Authors: Gillette, Paul C., Reitman, Milton J., Gutgesell, Howard P., Vargo, Thomas A., Mullins, Charles E., McNamara, Dan G.
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 1975
• Subjects: Adolescent; Adult; Aortic Coarctation - physiopathology; Aortic Valve Stenosis - physiopathology; Arrhythmias, Cardiac - physiopathology; Atrioventricular Node - physiopathology; Bundle of His - physiopathology; Bundle-Branch Block - physiopathology; Cardiac Catheterization - methods; Cardiac Complexes, Premature - physiopathology; Child; Child, Preschool; Dextrocardia - physiopathology; Digitalis Glycosides - therapeutic use; Ductus Arteriosus, Patent - physiopathology; Electrocardiography - methods; Heart Block - physiopathology; Heart Conduction System - drug effects; Heart Conduction System - physiopathology; Heart Defects, Congenital - physiopathology; Heart Failure - drug therapy; Heart Septal Defects, Atrial - physiopathology; Heart Septal Defects, Ventricular - physiopathology; Humans; Infant; Infant, Newborn; Pulmonary Valve Stenosis - physiopathology; Tachycardia, Paroxysmal - physiopathology; Tetralogy of Fallot - physiopathology; Transposition of Great Vessels - physiopathology
• ISSN: 0002-8703; 1097-6744
• DOI: 10.1016/0002-8703(75)90007-1

The interpretation of IE recorded in children has been hampered by a lack of agreement regarding normal values. We recorded IE in 158 children and young adults (ages, three days to 33 years) to define the various conduction intervals in normal and disease states. The HBP was recorded in 156 subjects. In 85 subjects with normal condudtion indicated by surface ECG, including 19 subjects with normal hearts, there were no statistically significant age-related differences in internodal, A-V nodal, or His-Purkinje conduction intervals. Therapeutic levels of digitalis did not alter the conduction intervals. In 11 subjects with first degree A-V block and in five subjects with congenital complete A-V block, the site of block as determined by IE could not be predicted from the surface ECG. No abnormalities in conduction intervals were found in 18 subjects with right bundle branch block (surgically induced in 17 cases). Intracardiac electrography with recording of the HBP was found to be a safe, informative technique for electrophysiologic investigations in children and young adults.