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Current Cardiology Reviews

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ISSN (Print): 1573-403X
ISSN (Online): 1875-6557

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Review Article

The Wenckebach Phenomenon

Author(s): Simon P. Hansom, Mehrdad Golian and Martin S. Green*

Volume 17, Issue 1, 2021

Published on: 18 July, 2020

Page: [10 - 16] Pages: 7

DOI: 10.2174/1573403X16666200719022142

Price: $65

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Abstract

Medicine has many great pioneers, and in 1899, one such pioneer - Karel Frederik Wenckebach made a discovery which, even to this day, remains one of the fundamental concepts within electrophysiology.

Since the Wenckebach Phenomenon was first described, the field of electrophysiology has developed at a rapid pace, allowing us to observe this behaviour, and its complexities, in many new ways. In a similar way, this chapter will illustrate Wenckebach behaviour across a spectrum of modalities from the 12 lead ECG, through to the intra-cardiac recordings from both electrophysiological studies and implantable cardiac devices. In doing so, we continue to shed light on the phenomenon first identified through Wenckebach’s meticulous attention to detail some 120 years ago.

Keywords: Wenckebach, Mobitz type 1, atrioventricular block, ECG, electrophysiology, AV node.

Graphical Abstract

[1]
Upshaw CB Jr, Silverman ME. The Wenckebach phenomenon: a salute and comment on the centennial of its original description. Ann Intern Med 1999; 130(1): 58-63.
[http://dx.doi.org/10.7326/0003-4819-130-1-199901050-00011] [PMID: 9890852]
[2]
Pérez-Riera AR, Femenía F, McIntyre WF, Baranchuk A. Karel Frederick Wenckebach (1864-1940): a giant of medicine. Cardiol J 2011; 18(3): 337-9.
[PMID: 21660930]
[3]
Wenckebach KF. On the analysis of irregular pulses. Z Klin Med 1899; 37: 475-88.
[4]
Decherd GM, Ruskin A. The mechanism of the Wenckebach type of AV block. Br Heart J 1946; 8(1): 6-16.
[http://dx.doi.org/10.1136/hrt.8.1.6] [PMID: 18610024]
[5]
Barold SS. Lingering misconceptions about type I second-degree atrioventricular block. Am J Cardiol 2001; 88(9): 1018-20.
[http://dx.doi.org/10.1016/S0002-9149(01)01980-4] [PMID: 11703999]
[6]
Brignole M, Auricchio A, Baron-Esquivias G, et al. ESC Committee for Practice Guidelines (CPG); Document Reviewers. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Eur Heart J 2013; 34(29): 2281-329.
[http://dx.doi.org/10.1093/eurheartj/eht150] [PMID: 23801822]
[7]
Denes P, Levy L, Pick A, Rosen KM. The incidence of typical and atypical A-V Wenckebach periodicity. Am Heart J 1975; 89(1): 26-31.
[http://dx.doi.org/10.1016/0002-8703(75)90005-8] [PMID: 1109548]
[8]
Zhang Y, Mazgalev TN. AV nodal dual pathway electrophysiology and Wenckebach periodicity. J Cardiovasc Electrophysiol 2011; 22(11): 1256-62.
[http://dx.doi.org/10.1111/j.1540-8167.2011.02068.x] [PMID: 21489031]
[9]
Schamroth L, Dove E. The Wenckebach phenomenon in sino-atrial block. Br Heart J 1966; 28(3): 350-8.
[http://dx.doi.org/10.1136/hrt.28.3.350] [PMID: 5936967]
[10]
Roberge FA, Nadeau RA. The nature of Wenckebach cycles. Can J Physiol Pharmacol 1969; 47(8): 695-704.
[http://dx.doi.org/10.1139/y69-119] [PMID: 5806460]
[11]
Barold SS, Type I, Type I. Wenckebach second-degree AV block: A matter of definition. Clin Cardiol 2018; 41(3): 282-4.
[http://dx.doi.org/10.1002/clc.22874] [PMID: 29460961]

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