Do Not Dismiss That Wenckebach
A patient in their mid-70s with a medical history of hypertension and no known history of cardiac disease presented with recurrent syncopal attacks. An electrocardiogram (ECG) showed second-degree Mobitz type 1 (Wenckebach) AV conduction block with right bundle-branch block. The patient did not show...
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| Veröffentlicht in: | Archives of internal medicine (1960) 2021-11, Vol.181 (11), p.1507-1508 |
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| container_title | Archives of internal medicine (1960) |
| container_volume | 181 |
| creator | Hanayneh, Seri Goel, Ramil |
| description | A patient in their mid-70s with a medical history of hypertension and no known history of cardiac disease presented with recurrent syncopal attacks. An electrocardiogram (ECG) showed second-degree Mobitz type 1 (Wenckebach) AV conduction block with right bundle-branch block. The patient did not show higher levels of AV conduction disease at rest; orthostatic blood pressure and the results of additional routine cardiac evaluation were unremarkable. Hanayneh and Goel decided to assess the patient's AV conduction response to exercise. In the treadmill stress laboratory, they obtained a standing ECG before the Bruce protocol was initiated and afterwards at stage 1 of the Bruce protocol. |
| doi_str_mv | 10.1001/jamainternmed.2021.4031 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 2168-6106 |
| ispartof | Archives of internal medicine (1960), 2021-11, Vol.181 (11), p.1507-1508 |
| issn | 2168-6106 2168-6114 |
| language | eng |
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| source | MEDLINE; American Medical Association Journals |
| subjects | Aged Atrioventricular Block - diagnosis Atrioventricular Block - physiopathology Atrioventricular Block - therapy Bundle-Branch Block - diagnosis Bundle-Branch Block - physiopathology Bundle-Branch Block - therapy Electrocardiography Electrocardiography - methods Exercise Test - methods Fainting Humans Hypertension Male Medical diagnosis Pacemaker, Artificial Prosthesis Implantation - instrumentation Prosthesis Implantation - methods Recurrence Syncope - etiology Syncope - therapy Treatment Outcome |
| title | Do Not Dismiss That Wenckebach |
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