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- W2004175949 abstract "As a rule, exercise enhances the rate of discharge of idioventricular rhythms in complete atrioventricular (AV) block. The opposite effect, a sudden drop in the rate of discharge with subsequent resetting of the firing rate, was observed in an 18-year-old boy with chronic complete AV block. Two mechanisms for this paradoxical response to exercise are proposed: (1) delay in discharge of the automatic pacemaker focus by successful penetration of electrotonic potentials from nonconducted P waves across the area of block in the AV conduction system and into the pacemaker focus; and (2) discharge of the pacemaker focus by concealed reentrant extrasystoles. Wedensky inhibition is ruled out because of the resetting of the firing rate." @default.
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- W2004175949 date "1988-01-01" @default.
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- W2004175949 title "The paradox of sudden slowing of idioventricular rhythm during exercise in complete heart block: Modulation of automatic focus, concealed reentry, or wedensky inhibition?" @default.
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- W2004175949 doi "https://doi.org/10.1016/0022-0736(88)90104-5" @default.
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