Conduction Disease with Aortic Stenosis
Authors: Richard K. Mautner, Mooideen Meeran
Journal: Annals of Internal Medicine (1978)

Letters and Corrections1 January 1978Conduction Disease with Aortic StenosisRICHARD K. MAUTNER, M.D., MOOIDEEN MEERAN, M.D., M.R.C.P., F.C.P. (SA)RICHARD K. MAUTNER, M.D.Search for more papers by this author, MOOIDEEN MEERAN, M.D., M.R.C.P., F.C.P. (SA)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-88-1-133_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The recent article by Dhingra and associates (1) postulates that the cause for syncope and sudden death in patients with aortic stenosis could be related to conduction disease. This statement adds confusion to the already difficult subject of managing patients with chronic conduction disease, as the natural history of this disease is just beginning to be known. These authors have documented a high prevalence of latent and manifest conduction-system disease (trifascicular disease) in their series. Besides aortic stenosis, conduction disease is known to occur in pure aortic regurgitation, where one third of the patients are reported to...References1. DHINGRAAMAT-Y-LEONPIETRASWYNDHAMDEEDWANIAWUDENESROSEN RFRCPDPK: Sites of conduction disease in aortic stenosis. Significance of valve gradient and calcification. Ann Intern Med 87:275-280, 1977 LinkGoogle Scholar2. REICHEKSHELBURNPERLOFF NJJ: Clinical aspects of rheumatic valvular disease. Prog Cardiovasc Dis 15:131-177, 1973 CrossrefGoogle Scholar3. ROTMANMORRISBEHARPETERKONG MJVRY: Aortic valvular disease. Comparison of types and their medical and surgical management. Am J Med 51:241-257, 1971 CrossrefMedlineGoogle Scholar4. DHINGRADENESWUWYNDHAMAMAT-Y-LEONTOWNEROSEN RPDCFWK: Prospective observations in patients with chronic bundle branch block and marked H-V prolongation. Circulation 53:600-604, 1976 CrossrefMedlineGoogle Scholar5. DENESDHINGRAWUWYNDHAMAMAT-Y-LEONROSEN PRDCFK: Sudden death in patients with chronic bifascicular block. Arch Intern Med 137:1005-1010, 1977 CrossrefMedlineGoogle Scholar1. YATFRCORNELL WV: Heart block due to calcareous lesions of the bundle of His. Review and report of a case with detailed histopathologic study. Ann Intern Med 8:777-789, 1935 LinkGoogle Scholar2. ROSENWUKANAKISDENESBHARATILEV KDCPSM: Return of normal conduction after paroxysmal heart block. Report of a case with major discordance of electrophysiological and pathological findings. Circulation 51:197-204, 1975 CrossrefMedlineGoogle Scholar3. FRIEDMANZAMANHAFTMELENDEZ HQJS: Assessment of A-V conduction in aortic valve disease (abstract). Am J Cardiol 39:314, 1977 Google Scholar4. AMAT-Y-LEONDHINGRADENESWUWYNDHAMROSEN FRPDCK: The natural history of chronic second degree A-V nodal block (abstract). Am J Cardiol 39:324, 1977 Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 January 1978Volume 88, Issue 1Page: 133-134KeywordsNatural history of diseaseStenosisSyncope Issue Published: 1 January 1978 PDF DownloadLoading ...