Open AccessLocation and Clinical Implications of High‐Degree Atrioventricular Block During Dipyridamole Infusion: A Case Report
Author(s) -
Alakhras Mazen,
Baldari Duccio,
ElSherif Nabil,
Turitto Gioia
Publication year - 2002
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/j.1542-474x.2002.tb00158.x
Subject(s) - dipyridamole , medicine , atrioventricular block , cardiology , block (permutation group theory) , heart block , anesthesia , intraventricular conduction , electrocardiography , geometry , mathematics
We describe a patient with bifascicular block, who developed transient high‐degree atrioventricular block during dipyridamole infusion. This patient was subsequently found to have significant His‐Purkinje disease at electrophysiology study, and underwent permanent pacemaker implantation. Spontaneous atrioventricular block was documented during follow‐up. This case report raises the issue of dipyridamole safety in patients with intraventricular conduction defects, and contributes an additional mechanism to the possible explanation of dipyridamole‐induced atrioventricular block. A.N.E. 2002;7(2):174–176