What is the normal HV range?

Prepare for the Electrophysiology Unit (EPU) 26.19 exam with our interactive quiz featuring flashcards and multiple choice questions. Check your understanding with hints and explanations for each question.

Multiple Choice

What is the normal HV range?

Explanation:
HV interval measures the conduction time from the His bundle to the ventricular myocardium, recorded on intracardiac electrograms in milliseconds. In a healthy conduction system, this interval is typically 35 to 55 milliseconds. That range is used as the normal reference. If the HV interval is longer than about 55 ms, it suggests delayed conduction below the His bundle (infra-Hisian conduction disease, such as bundle branch block or His-Purkinje system impairment). If the HV interval is shorter than about 35 ms, it can indicate accessory pathway conduction that bypasses part of the normal His-Purkinje pathway, as seen with pre-excitation. So, the normal HV range is 35–55 ms.

HV interval measures the conduction time from the His bundle to the ventricular myocardium, recorded on intracardiac electrograms in milliseconds. In a healthy conduction system, this interval is typically 35 to 55 milliseconds. That range is used as the normal reference. If the HV interval is longer than about 55 ms, it suggests delayed conduction below the His bundle (infra-Hisian conduction disease, such as bundle branch block or His-Purkinje system impairment). If the HV interval is shorter than about 35 ms, it can indicate accessory pathway conduction that bypasses part of the normal His-Purkinje pathway, as seen with pre-excitation. So, the normal HV range is 35–55 ms.

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