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Circulation. 1971;44:803-809

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(Circulation. 1971;44:803.)
© 1971 American Heart Association, Inc.


Conduction through a Narrow Isthmus in Isolated Canine Atrial Tissue

A Model of the W-P-W Syndrome

DOMINGO DE LA FUENTE M.D.1; BETTY SASYNIUK PH.D.1; G. K. MOE M.D., PH.D.1

1 From the Masonic Medical Research Laboratory, Utica, New York.

Isolated blocks of dog atrial tissue were dissected to provide a narrow isthmus connecting two broader areas. Unidirectional block was readily demonstrable at the junctions of the narrow band with the larger areas. Transmembrane action potentials just proximal to the blocked junction were abbreviated, while only local electronic potentials were recorded beyond. Acetylcholine restored 1:1 propagation in blocked preparations. The model may explain some of the features of intermittent preexcitation.


Key Words: Acetylcholine and atrial conduction • Conduction block • Preexcitation syndrome

Submitted on December 7, 1970
Accepted on July 15, 1971




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