[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.166.48.3. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
November 1932

BRANCH ARBORIZATION AND COMPLETE HEART BLOCK

Author Affiliations

CHICAGO

From the Department of Pathology, Cook County Hospital, Dr. R. H. Jaffé, Director.

Arch Intern Med (Chic). 1932;50(5):730-758. doi:10.1001/archinte.1932.00150180083006
Abstract

The mode of cardiac conduction has passed through a prolonged controversial siege, but has emerged as a proven entity. The bundle of His, formerly considered as a passive agent, has now been shown to be actively engaged in generating and discharging the impulses which result in ventricular contraction (Ishihara and Nomura1). Instrumental in formulating these conclusions has been the advent of the electrocardiograph. In animals, severance of the common bundle or one of its main branches has yielded specific tracings, but its application in man is still a matter of dispute.

NORMAL CONSIDERATIONS  Graphically, figure 1 shows what is now considered the normal course of impulses through the heart. From the sino-auricular node, situated at the junction of the superior vena cava and the appendage of the right auricle, fibers lead to: the superior vena cava (Wenckebach's bundle), to the inferior vena cava by way of the linea terminalis

First Page Preview View Large
First page PDF preview
First page PDF preview
×