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In all septic counter lesions good drainage is indispensable. Should a supraventricular premature beat arrive at such a time as to find one or two of the three conducting branches still refractory to conduction, the excitation wave will be cheap initially conducted through the ventricle along the bundle or bundles that are no longer refractory. From this area, irritant impulses reach the spinal center with which it is most closely tev associated.