A His bundle extrasystole can both induce and reverse 2:1 atrioventricular block View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-11

AUTHORS

Abdullah Khan, Abdul Ameen, Ilir Maraj, Gioia Turitto, Nabil E. El-Sherif

ABSTRACT

An 84 year-old man with history of recurrent dizziness presented with first degree atrio-ventricular block (1° AVB) and periods of 2:1 AVB. An electrophysiological study revealed a predominant 1:1 AV conduction with markedly prolonged AH interval and frequent His bundle extrasystoles (H). A properly timed H could induce periods of 2:1 AV nodal block and 1:1 AV conduction could only resume following another properly timed H. Procainamide suppressed H. However, because of persistence of the patient symptoms, a permanent pacemaker was eventually inserted. The case illustrates a hitherto not described manifestation of H. More... »

PAGES

121-123

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10840-011-9542-8

DOI

http://dx.doi.org/10.1007/s10840-011-9542-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031535643

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21327490


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