| Complete infrahisian atrioventricular block after endocavitary shock delivered by an automatic implantable cardiac defibrillator. | |
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MedLine Citation:
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PMID: 8854336 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Transient reproducible complete infrahisian atrioventricular block occurred after endocavitary cardioversion of ventricular tachycardia and ventricular fibrillation by an automatic implantable cardiac defibrillator in a patient with left bundle branch block and baseline borderline H-V interval. Six months later, a permanent complete atrioventricular block occurred after repetitive endocavitary shocks. Several hypothetical mechanisms may explain this infrahisian atrioventricular block a "fatigue" phenomenon of the His-Purkinje system, vagally mediated atrioventricular block, and/or ablation of the His conduction system. The last seems to be the most probable, which would justify implantation of an automatic implantable cardiac defibrillator with backup pacing in all patients, especially in the presence of bundle branch block. |
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Authors:
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D Babuty; J C Charniot; J P Fauchier |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of electrocardiology Volume: 29 ISSN: 0022-0736 ISO Abbreviation: J Electrocardiol Publication Date: 1996 Jul |
Date Detail:
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Created Date: 1996-12-11 Completed Date: 1996-12-11 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0153605 Medline TA: J Electrocardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 249-53 Citation Subset: IM |
Affiliation:
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Cardiology and Electrophysiology Service, Trousseau Hospital, Tours, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bundle of His / physiopathology Cardiac Pacing, Artificial Defibrillators, Implantable / adverse effects* Electrocardiography Heart Block / etiology*, physiopathology, therapy Humans Male Tachycardia, Ventricular / therapy Ventricular Fibrillation / therapy |
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