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The clinical anatomy of the atrioventricular conduction axis

Lookup NU author(s): Professor Bob Anderson

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.It is axiomatic that the chances of achieving accurate capture of the conduction axis and its fascicles will be optimized by equally accurate knowledge of the relationship of the components to the recognizable cardiac landmarks, and we find it surprising that acknowledged experts should continue to use drawings that fall short in terms of anatomical accuracy. The accuracy achieved by Sunao Tawara (1906) in showing the location of the atrioventricular conduction axis is little short of astounding. Our purpose in bringing this to current attention is to question the need of the experts to have produced such inaccurate representations, since the findings of Tawara have been extensively endorsed in very recent years. The recent studies do no more than point to the amazing accuracy of the initial account of Tawara. At the same time, we draw attention to the findings described in the middle of the 20th century by Ivan Mahaim (1947). These observations have tended to be ignored in recent accounts. They are, perhaps, of equal significance to those seeking specifically to pace the left fascicles of the branching atrioventricular bundle.


Publication metadata

Author(s): Sanchez-Quintana D, Cabrera J-A, Anderson RH

Publication type: Review

Publication status: Published

Journal: Europace

Year: 2024

Volume: 26

Issue: 3

Online publication date: 14/02/2024

Acceptance date: 12/02/2024

ISSN (print): 1099-5129

ISSN (electronic): 1532-2092

Publisher: Oxford University Press

URL: https://doi.org/10.1093/europace/euae048

DOI: 10.1093/europace/euae048

PubMed id: 38364795


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