Reminiscences Of The First His Bundle Electrography In India
Nambiar C.A. MD, DM, FACC.
Former Professor of Cardiology, Medical College
Calicut, Kerala, India.
Address for correspondence: Dr.
C. Ashokan Nambiar, MD, DM, FACC, "Hrdya", Thondayad, P.O.
Chevarambalam, Calicut-673 017, Kerala,
India Email: hrdya@hotmail.com
We spent two hectic years
in AIIMS in 1972 and ''73 while undergoing our
training for DM Cardiology. Dr Rajan Manjuran and myself were the two
candidates and we worked day and night, but thoroughly enjoyed it as it
was so exciting and educative. The cutting edge remarks by the
inimitable Professor Sujoy B Roy, the meticulous precision of Prof
M.L.Bhatia and the tender auscultatory sessions on infants with Prof
Raj Tandon all are still fresh in mind. Another fascinating aspect of
those days was the frequent visits by the leading innovators in
cardiology and cardiac surgery.
Dr Onkar Narula was making a huge wave those days with his work on His
Bundle Electrocardiography and Corrected Sinus Node Recovery Time. He
visited us in late 1972 or early 1973,probably the latter date. Till
then
venous catheterizations (including pacing) were done by open cut down.
I remember the first time we used venous sheath through right femoral
vein. Dr Bhatia was the operator and I was assisting him and Dr
Savithri
Srivasthava was the senior Registrar. With Dr Narula showing the way we
did the first His Bundle Recording and I analysed the whole roll
manually
as was the method those days. We had to improvise a junction box as the
recording equipment did not have a proper connecting accessory at that
time. After Dr Narula left we did His Bundle recording on many more
patients
and undertook a study. This was published as: Effect of acute
digitalization
on His Bundle Intervals and Corrected Sinus Node Recovery Time in young
adults.M.L.Bhatia,C.Ashokan Nambiar,S.Shrivastava and Sujoy
B.Roy: Indian
Heart Journal:Vol-2:1977.1The article was
received
for publication on 29/11/1973 as acknowledged underneath, but strangely
it took a long time to come in print. I have preserved some of the cath
rolls and reprint of the article.
References
1.
Bhatia ML, Ashokan Nambiar C, Shrivastava S, Roy
SB.: Effect of acute digitalization on His Bundle Intervals and
Corrected
Sinus Recovery Time in normal young adults. Indian Heart
Journal:1977;
29(2):78-84
