Karel Frederik Wenckebach (; March 24, 1864 – November 11, 1940) was a Dutch
anatomist
Anatomy () is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old scien ...
who was a native of
the Hague
The Hague ( ) is the capital city of the South Holland province of the Netherlands. With a population of over half a million, it is the third-largest city in the Netherlands. Situated on the west coast facing the North Sea, The Hague is the c ...
.
He studied medicine in
Utrecht
Utrecht ( ; ; ) is the List of cities in the Netherlands by province, fourth-largest city of the Netherlands, as well as the capital and the most populous city of the Provinces of the Netherlands, province of Utrecht (province), Utrecht. The ...
, and in 1901 become a professor of medicine at the
University of Groningen
The University of Groningen (abbreviated as UG; , abbreviated as RUG) is a Public university#Continental Europe, public research university of more than 30,000 students in the city of Groningen (city), Groningen, Netherlands. Founded in 1614, th ...
. Later he was a professor at the Universities of
Strasbourg
Strasbourg ( , ; ; ) is the Prefectures in France, prefecture and largest city of the Grand Est Regions of France, region of Geography of France, eastern France, in the historic region of Alsace. It is the prefecture of the Bas-Rhin Departmen ...
(1911–14) and
Vienna
Vienna ( ; ; ) is the capital city, capital, List of largest cities in Austria, most populous city, and one of Federal states of Austria, nine federal states of Austria. It is Austria's primate city, with just over two million inhabitants. ...
(1914–29).
Contributions in cardiology
Wenckebach is primarily remembered for his work in
cardiology
Cardiology () is the study of the heart. Cardiology is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery di ...
. In 1899 he provided a description of irregular pulses due to
partial blockage of
atrioventricular conduction, creating a progressive lengthening of conduction time in cardiac tissue. The condition was referred to as a "
second degree AV block" and later named the "Wenckebach phenomenon" and reclassified as Mobitz type I block in Mobitz's 1924 paper. A similar phenomenon can also occur in the
sinoatrial node
The sinoatrial node (also known as the sinuatrial node, SA node, sinus node or Keith–Flack node) is an ellipse, oval shaped region of special cardiac muscle in the upper back wall of the right atrium made up of Cell (biology), cells known as pa ...
where it gives rise to
type I second degree SA block, and this is also known as a Wenckebach block; the two have distinct features on an ECG however.

Wenckebach is credited for describing the median bundle of the
heart's conductive system that connects the
sinoatrial node
The sinoatrial node (also known as the sinuatrial node, SA node, sinus node or Keith–Flack node) is an ellipse, oval shaped region of special cardiac muscle in the upper back wall of the right atrium made up of Cell (biology), cells known as pa ...
to the
atrioventricular node
The atrioventricular node (AV node, or Aschoff-Tawara node) electrically connects the heart's atria and ventricles to coordinate beating in the top of the heart; it is part of the electrical conduction system of the heart. The AV node lies at the ...
. This bundle was named Wenckebach's bundle, and is also known as the middle internodal tract. Wenckebach's bundle is one of the three internodal pathways, the others being the "posterior internodal tract" (Thorel's pathway), and the "anterior internodal tract" (some fibers of which also project to
Bachmann's bundle
In the heart's conduction system, Bachmann's bundle (also called the Bachmann bundle or the interatrial band) is a branch of the anterior internodal tract that resides on the inner wall of the left atrium. It is a broad band of cardiac muscle ...
, and then into the
left atrium
The atrium (; : atria) is one of the two upper chambers in the heart that receives blood from the circulatory system. The blood in the atria is pumped into the heart ventricles through the atrioventricular mitral and tricuspid heart valves.
...
).
Wenckebach was an early advocate involving the use of
quinine
Quinine is a medication used to treat malaria and babesiosis. This includes the treatment of malaria due to ''Plasmodium falciparum'' that is resistant to chloroquine when artesunate is not available. While sometimes used for nocturnal leg ...
for treatment of paroxysmal
atrial fibrillation
Atrial fibrillation (AF, AFib or A-fib) is an Heart arrhythmia, abnormal heart rhythm (arrhythmia) characterized by fibrillation, rapid and irregular beating of the Atrium (heart), atrial chambers of the heart. It often begins as short periods ...
.
Family
His father Eduard (1813–1874) has been credited with developing the very first telegraphic communications line in the Netherlands, between
Haarlem
Haarlem (; predecessor of ''Harlem'' in English language, English) is a List of cities in the Netherlands by province, city and Municipalities of the Netherlands, municipality in the Netherlands. It is the capital of the Provinces of the Nether ...
and
Amsterdam
Amsterdam ( , ; ; ) is the capital of the Netherlands, capital and Municipalities of the Netherlands, largest city of the Kingdom of the Netherlands. It has a population of 933,680 in June 2024 within the city proper, 1,457,018 in the City Re ...
. He had two brothers, Henri Johan Eduard (1861–1924), director of the State Mines and later of the Dutch Ironworks in
IJmuiden
n IJ (digraph) and that should remain the only places where they are used. >
IJmuiden () is a port town in the Netherlands, Dutch province of North Holland. It is the main town in the municipality of Velsen which lies mainly to the south-ea ...
, and Ludwig Willem Reymert (1860–1937), a well-known painter and book illustrator.
His son
Oswald Oswald may refer to:
People
*Oswald (given name), including a list of people with the name
* Oswald (surname), including a list of people with the name
Fictional characters
*Oswald the Reeve, who tells a tale in Geoffrey Chaucer's ''The Canterbu ...
became a sculptor, painter and medallist, most widely known for his war monuments and designing the Dutch coins issued between 1948 and 1981.
Selected writings
* ''Arythmie als Ausdruck bestimmter Funktionsstörungen des Herzens'' (1903, Engelse vertaling: (1904)
* ''Die unregelmässige Herztätigkeit und ihre klinische Bedeutung'' (1914)
* ''Herz- und Kreislaufinsufficienz'' (1931)
References
*
External links
Who Named It?; Karel Frederik Wenckebach
{{DEFAULTSORT:Wenckebach, Karel Frederik
1864 births
1940 deaths
20th-century Dutch anatomists
Dutch cardiologists
Academic staff of the University of Vienna
Dutch expatriates in Austria
Physicians from The Hague