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Testing of box lesion by adenosine

Testing of box lesion has never revealed dormant conduction yet using adenosine.This is due to larger IKAdo and smaller IK1 in pulmonary vein cells compared to left atrium. 

We further tried to test this concept  for 8 patients and we were not able to reveal any dormant conduction.

Credits: Narendra kumar,MD; Laurent Pison, MD; Mark la Meir, MD, PhD; Harry Crijns , MD, PhD; Jos Maessen, MD, PhD

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