Document Detail


Amiodarone-induced intra-His block.
MedLine Citation:
PMID:  6736449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two patients, one with and one without preexisting conduction system abnormalities, were treated with amiodarone for refractory ventricular arrhythmias. Electrophysiologic testing before and during amiodarone therapy revealed amiodarone-induced HV interval prolongation and second degree intra-His Wenckebach block with no change in QRS configuration during atrial pacing at relatively long cycle lengths. The mechanism responsible for this phenomenon is unclear. These cases illustrate that amiodarone can induce distal conduction system block even in the absence of clinical conduction system disease in a pattern that mimics atrioventricular nodal block.
Authors:
E E Kennedy; W P Batsford
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  4     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1984 Jul 
Date Detail:
Created Date:  1984-07-27     Completed Date:  1984-07-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  192-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Amiodarone / adverse effects*
Arrhythmias, Cardiac / drug therapy,  physiopathology
Atrioventricular Node / drug effects,  physiopathology
Benzofurans / adverse effects*
Bundle of His / drug effects*,  physiopathology
Electrocardiography
Heart Block / chemically induced*,  physiopathology
Heart Conduction System / drug effects*
Humans
Male
Chemical
Reg. No./Substance:
0/Benzofurans; 1951-25-3/Amiodarone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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