Related Experiment Video
Updated: Feb 8, 2026

Isolation and Culture of Resident Cardiac Macrophages from the Murine Sinoatrial and Atrioventricular Node
Published on: May 7, 2021
Symptomatic atrioventricular block in an atriofascicular pathway inserting into the left bundle branch without
A Mecca1, A Telfer, C Lanzarotti
1Section of Electrophysiology, Loyola University Medical Center, Maywood, Illinois 60153, USA.
Insights
This study details a unique case of symptomatic atrioventricular (AV) block caused by conduction only through an atriofascicular pathway. This pathway bypassed the AV node, leading to abnormal heart rhythms.
Area of Science:
- Cardiology
- Electrophysiology
- Human Physiology
Background:
- Atrioventricular (AV) block is a condition where the electrical signal is slowed or blocked between the atria and ventricles.
- Conduction abnormalities can arise from various pathways, impacting cardiac function.
- Understanding accessory pathways is crucial for diagnosing and managing arrhythmias.
Observation:
- A patient presented with symptomatic AV block.
- Cardiac conduction was exclusively observed through an atriofascicular pathway.
- This pathway connected to the left bundle branch, with no apparent AV node conduction.
Findings:
- The patient's AV block was solely mediated by an atriofascicular pathway, bypassing the AV node.
- Passive activation of the His-Purkinje system was noted.
- His-bundle pacing confirmed normal conduction in both the right and left bundles, indicating the His-Purkinje system was intact.
Implications:
- This case highlights a previously unreported mechanism of AV block involving an atriofascicular pathway.
- It expands the understanding of cardiac conduction disorders and accessory pathways.
- Further research may elucidate the prevalence and clinical significance of such pathways.
Abstract:
We report a patient with symptomatic AV block associated with conduction solely through an atriofascicular pathway that inserted into the left bundle branch. There was no apparent conduction present through the AV node. There was, however, passive activation through the His-Purkinje system. His-bundle pacing demonstrated normal conduction through both right and left bundles. This is the first report of such a case.
More Related Videos
Related Concept Videos
Apparent Weight
Consider a person standing on a bathroom scale inside an elevator. If the scale is accurate at rest, its reading equals the...
Detailed Structure and Function of Lymph Nodes
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
C4 Pathway and CAM
C4 Pathway
The C4 pathway is used by plants such as...
Apparent Weight and the Earth's Rotation
For an object on the Earth's equator, the net centripetal force that accounts for its rotation is the Earth's pull towards its center, or the weight minus the normal force that prevents it from piercing into the Earth's surface....
Block Diagram Reduction
The first step in this process is the identification and relocation of a branch point. A branch point, where a...
Elements of Block Diagrams
A block diagram typically includes essential elements such as comparators, blocks, and feedback loops. Each of these elements...

