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Chest, Vol 74, 230-233, Copyright © 1978 by American College of Chest Physicians
ARTICLES |
HO Klein, E Di Segni and E Kaplinsky
A selective defect in cardiac conduction in the anterior division of the left bundle branch was induced in a patient by therapy with procainamide hydrochloride. The defect in conduction, when intermittent, resulted in 2:1 Wencklebach sequences and produced a pattern similar to classic electrical alternans. The prognosis in drug- induced alternans is good, and it is important to differentiate it from true electrical alternans.
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