Multiple gap phenomena associated with dual His bundle pathways having a lower common tract
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Updated: Jul 14, 2026

Investigating Functional Regeneration in Organotypic Spinal Cord Co-cultures Grown on Multi-electrode Arrays
Published on: September 23, 2015
Seiji Takatsuki1, Fabrice Extramiana, Hideo Mitamura
1Cardiology Department, Lariboisiere University Hospital, Paris, France. seiji.takatsuki@gmail.com <seiji.takatsuki@gmail.com>
Abstract:
We report a case showing 4 types of aberrant conduction and 2 types of gap phenomena produced by single atrial extrastimulus during sinus rhythm. One of the gap phenomena was associated with dual His bundle pathways, demonstrating a fast-to-slow jump-up phenomenon. Of note, a sharp potential considered as retrograde His bundle activations was recorded, which indicated that the activation wave front descended the slow His bundle pathway and turned up the fast His bundle pathway.
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