Open AccessComplete atrioventricular block during exercise: New insights from an old test
Author(s) -
Eduardo Vilela,
Susana Torres,
Helena Gonçalves,
João Primo,
Madalena Teixeira,
Pedro Braga
Publication year - 2019
Publication title -
monaldi archives for chest disease. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.196
H-Index - 46
eISSN - 2465-101X
pISSN - 1122-0643
DOI - 10.4081/monaldi.2019.1002
Subject(s) - medicine , stress testing (software) , cardiology , coronary artery disease , atrioventricular block , chronotropic , stress test , modalities , clinical practice , stress echocardiography , physical therapy , heart rate , blood pressure , computer science , programming language , social science , finance , sociology , economics
Exercise stress testing can have a central role in the assessment of cardiovascular disease. Contemporary data, however, has highlighted the added value of imaging modalities over the exercise electrocardiogram in the investigation of coronary artery disease. Given the physiological changes associated with exercise and the possibility to address other parameters such as rhythm changes and the chronotropic response, exercise stress testing with continuous electrocardiographic monitoring can still have an important place in contemporary clinical practice. We report the case of a complete atrioventricular block associated with exercise and discuss the current role of exercise stress testing with continuous electrocardiographic monitoring in this entity.