ArticleJACC. Case reports2025
Reverse Wenckebach Phenomenon After Surgical Repair of Bicuspid Aortic Valve: Long-Term Follow-Up.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Seemingly Reverse Wenckebach Phenomenon, Truly Inverse Decremental Conduction.JACC. Case reports · 2026Article
- Reply: Seemingly Reverse Wenckebach Phenomenon, Truly Inverse Decremental Conduction.JACC. Case reports · 2026Article
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Authors and funding
3 authors.
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Abstract
backgroundThe Wenckebach phenomenon of atrioventricular conduction is deemed a physiological response of the atrioventricular node to a high atrial rate. However, the reverse Wenckebach phenomenon is under-recognized. CASE SUMMARY: We report an instance of reverse Wenckebach phenomenon developing into complete heart block in a 33-year-old man who experienced syncope after surgical repair of prolapsed bicuspid aortic valves. His condition was managed by temporary pacing. However, long-term follow-up demonstrated that the reverse Wenckebach phenomenon and severe heart block was reversible, avoiding the need for a permanent pacemaker. DISCUSSION: Reverse Wenckebach phenomenon can occur spontaneously and degenerate to complete heart block. Combined with our findings, early recognition and prompt intervention may save the patient at risk. TAKE-HOME MESSAGES: The reverse Wenckebach phenomenon paradoxically indicates an atrioventricular block at the intra-Hisian or infra-Hisian level, heralding a more severe atrioventricular block in the near future. This phenomenon after valve surgery may be temporary.
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