[Calcified aortic valve stenosis in adults. Analysis of supra- and infra-hissian conduction disorders].
The association of intraventricular or atrio-ventricular conductive disorders with a calcified aortic stenosis, is a classical notion demonstrated by the close anatomical relationships between aortic valve and conduction pathways. These conductive disorders have been, for quite some time, analyzed on standard electrocardiograms, but, since a few years, the recording of the bundle of His potential has become the technique of choice. However, studies regarding this subject are few, based on very small and sometimes heterogeneous groups of patients. Sixty six consecutive patients hospitalized for a narrow aortic stenosis have agreed to be subjected, before valve replacement, to a recording of the bundle of His potential. Thirteen of them (19.7%) show a HV interval exceeding 55 ms or a pathological H deflexion (twisted and lasting 35 ms). None of the pre-operative parameters that were analyzed (black-out, left ventricular function, ventriculo-aortic gradient, calculated valvular area, magnitude of valvular and ring calcifications), seem correlated with the increased HV interval. These results cross-check those reported in most of the literature.
Blanc
J J
JJ
Service de Cardiologie Himbert, Hôpital Morvan, CHU de Brest.
Mahe
M
M
Genet
L
L
Mansourati
J
J
Salaun
J P
JP
Gilard
M
M
Boschat
J
J
Etienne
Y
Y
Penther
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000473:pathology; D002036:Bundle of His / Q000503:physiopathology; D002114:Calcinosis / Q000473:pathology*; D004417:Dyspnea / Q000209:etiology; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013575:Syncope / Q000209:etiology
Rétrécissement valvulaire aortique calcifié de l'adulte. Analyse des troubles conductifs sous- et intra-hisiens.