Revisiting the Atrioventricular Conduction Axis for the 21st Century
In this review, we summarise the ongoing debate surrounding the anatomy of the atrioventricular conduction axis and its relevance to pacing. We highlight previous disagreements and emphasise the importance of understanding the anatomical location of the axis. We give credit and support to the initia...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2024-11-01
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| Series: | Arrhythmia & Electrophysiology Review |
| Online Access: | https://www.aerjournal.com/articleindex/aer.2024.15 |
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| author | Robert H Anderson Damián Sánchez-Quintana Diane E Spicer Yolanda Macías Andrew C Cook José-Angel Cabrera Rehan Mahmud Eduardo Back Sternick Justin T Tretter |
| author_facet | Robert H Anderson Damián Sánchez-Quintana Diane E Spicer Yolanda Macías Andrew C Cook José-Angel Cabrera Rehan Mahmud Eduardo Back Sternick Justin T Tretter |
| author_sort | Robert H Anderson |
| collection | DOAJ |
| description | In this review, we summarise the ongoing debate surrounding the anatomy of the atrioventricular conduction axis and its relevance to pacing. We highlight previous disagreements and emphasise the importance of understanding the anatomical location of the axis. We give credit and support to the initial descriptions by His and Tawara, in particular their attention to the relationship of the atrioventricular conduction axis with the membranous septum. We express our disagreements with recent diagrams that incorrectly, in our opinion, depict the left bundle and right bundle branches. We offer our own latest understanding of the location and relationships of the atrioventricular conduction axis, including details of its development, and differences between human and animal hearts. We also emphasise the importance of understanding the relationship between the inferior pyramidal space and the inferoseptal recess so as appropriately to place the axis within the heart. We conclude by emphasising the need to consider the heart in the context of the body, describing its component parts by using attitudinally appropriate nomenclature. |
| format | Article |
| id | doaj-art-e1f58a2597cf4dfa9311600150f9cab2 |
| institution | OA Journals |
| issn | 2050-3369 2050-3377 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Arrhythmia & Electrophysiology Review |
| spelling | doaj-art-e1f58a2597cf4dfa9311600150f9cab22025-08-20T01:56:39ZengRadcliffe Medical MediaArrhythmia & Electrophysiology Review2050-33692050-33772024-11-011310.15420/aer.2024.15Revisiting the Atrioventricular Conduction Axis for the 21st CenturyRobert H Anderson0Damián Sánchez-Quintana1Diane E Spicer2Yolanda Macías3Andrew C Cook4José-Angel Cabrera5Rehan Mahmud6Eduardo Back Sternick7Justin T Tretter8Biosciences Institute, Newcastle University, Newcastle-upon-Tyne, UKDepartment of Human Anatomy and Cell Biology, Faculty of Medicine, University of Extremadura, Badajoz, SpainCongenital Heart Center, All Children’s Hospital, St Petersberg, FL, USDepartment of Medical and Surgical Therapeutics, Faculty of Veterinary, University of Extremadura, Cáceres, SpainCardiovascular Sciences Institute, University College London, London, UKUnidad de Arritmias, Departamento de Cardiología, Hospital Universitario Quirón-Salud, Madrid, Spain; Complejo Hospitalario Ruber Juan Bravo, Universidad Europea de Madrid, Madrid, SpainCardiac Electrophysiology Department, McLaren Bay Region, Bay City, MI, USArrhythmia and Electrophysiology Department, Biocor Institute, Nova Lima, BrazilDepartment of Pediatric Cardiology, Cleveland Clinic Children’s, Cleveland, OH, US; The Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USIn this review, we summarise the ongoing debate surrounding the anatomy of the atrioventricular conduction axis and its relevance to pacing. We highlight previous disagreements and emphasise the importance of understanding the anatomical location of the axis. We give credit and support to the initial descriptions by His and Tawara, in particular their attention to the relationship of the atrioventricular conduction axis with the membranous septum. We express our disagreements with recent diagrams that incorrectly, in our opinion, depict the left bundle and right bundle branches. We offer our own latest understanding of the location and relationships of the atrioventricular conduction axis, including details of its development, and differences between human and animal hearts. We also emphasise the importance of understanding the relationship between the inferior pyramidal space and the inferoseptal recess so as appropriately to place the axis within the heart. We conclude by emphasising the need to consider the heart in the context of the body, describing its component parts by using attitudinally appropriate nomenclature.https://www.aerjournal.com/articleindex/aer.2024.15 |
| spellingShingle | Robert H Anderson Damián Sánchez-Quintana Diane E Spicer Yolanda Macías Andrew C Cook José-Angel Cabrera Rehan Mahmud Eduardo Back Sternick Justin T Tretter Revisiting the Atrioventricular Conduction Axis for the 21st Century Arrhythmia & Electrophysiology Review |
| title | Revisiting the Atrioventricular Conduction Axis for the 21st Century |
| title_full | Revisiting the Atrioventricular Conduction Axis for the 21st Century |
| title_fullStr | Revisiting the Atrioventricular Conduction Axis for the 21st Century |
| title_full_unstemmed | Revisiting the Atrioventricular Conduction Axis for the 21st Century |
| title_short | Revisiting the Atrioventricular Conduction Axis for the 21st Century |
| title_sort | revisiting the atrioventricular conduction axis for the 21st century |
| url | https://www.aerjournal.com/articleindex/aer.2024.15 |
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