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Normal Electrophysiological Findings in a Patient with Symptomatic Intermittent Advanced Atrioventricular Block
Author(s) -
HUANG SHOEI K.,
HAUSER ROBERT G.,
EZRI MARILYN D.,
DENES PABLO,
MESSER JOSEPH V.,
ANBE DANIEL T.
Publication year - 1983
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1983.tb05326.x
Subject(s) - medicine , atrioventricular block , cardiology , massage , implantable loop recorder , abnormality , sick sinus syndrome , syncope (phonology) , carotid sinus , sinus (botany) , electrophysiology study , electrophysiology , sinus rhythm , electrocardiography , normal sinus rhythm , heart block , atrial fibrillation , catheter ablation , blood pressure , pathology , botany , alternative medicine , psychiatry , biology , genus
This report describes an otherwise healthy young woman who presented with syncope during episodes of advanced atriovenlricular (A V) block. The His bundle recordings during normal sinus rhythm and atrial and ventricular pacing were normal. Carotid sinus massage produced no abnormality. Subsequently, (he patient received a permanent pacemaker and has been free of symptoms. In termittent advanced A V block has been observed on follow‐up electrocardiograms. This unique case demonstrates a potential limitation of routine electrophysiologic investigation.