Chronic Dermatomyositis with Intermittent Trifascicular Block

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Presentation transcript:

Chronic Dermatomyositis with Intermittent Trifascicular Block Paul R. Lightfoot, M.D., F.C.C.P., Saroja Bharati, M.D., Maurice Lev, M.D., F.C.C.P.  CHEST  Volume 71, Issue 3, Pages 413-416 (March 1977) DOI: 10.1378/chest.71.3.413 Copyright © 1977 The American College of Chest Physicians Terms and Conditions

Figure 1 A (left). Leads 1, 2, and 3 during complete heart block. B (right). ECG showing 1:1 atrioventricular conduction with right bundle-branch block and left anterior hemiblock. CHEST 1977 71, 413-416DOI: (10.1378/chest.71.3.413) Copyright © 1977 The American College of Chest Physicians Terms and Conditions

Figure 1 A (left). Leads 1, 2, and 3 during complete heart block. B (right). ECG showing 1:1 atrioventricular conduction with right bundle-branch block and left anterior hemiblock. CHEST 1977 71, 413-416DOI: (10.1378/chest.71.3.413) Copyright © 1977 The American College of Chest Physicians Terms and Conditions

Figure 2 Intracardiac electrograms. Time lines indicate one-second intervals. From top to bottom are simultaneous surface lead 2, right atrial electrogram (RAE), and His bundle electrogram (HBE). A, Atrial activation; H, His bundle activation; and V, ventricular activation. CHEST 1977 71, 413-416DOI: (10.1378/chest.71.3.413) Copyright © 1977 The American College of Chest Physicians Terms and Conditions

Figure 3 A (upper). First part of right bundle branch. (arrows). Note presence of only a few remaining cells in right bundle branch (Gomori's trichrome stain, original magnification × 150). B. (lower). Periphery of posterior fibers of left bundle branch (arrows). There is considerable fibrosis and loss of cells. V, Ventricular myocardium (Gomori's trichrome stain, original magnification × 45). CHEST 1977 71, 413-416DOI: (10.1378/chest.71.3.413) Copyright © 1977 The American College of Chest Physicians Terms and Conditions

Figure 3 A (upper). First part of right bundle branch. (arrows). Note presence of only a few remaining cells in right bundle branch (Gomori's trichrome stain, original magnification × 150). B. (lower). Periphery of posterior fibers of left bundle branch (arrows). There is considerable fibrosis and loss of cells. V, Ventricular myocardium (Gomori's trichrome stain, original magnification × 45). CHEST 1977 71, 413-416DOI: (10.1378/chest.71.3.413) Copyright © 1977 The American College of Chest Physicians Terms and Conditions