Document Detail


His bundle extrasystoles revisited: the great electrocardiographic masquerader.
MedLine Citation:
PMID:  20487363     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 74-year-old man with past history of near syncope presented with frequent periods of second-degree atrioventricular block (2° AVB). An electrophysiological study revealed prolonged atrial-His and His-ventricular (HV) intervals and frequent His bundle (H) extrasystoles. The latter manifested in the surface electrocardiogram as premature atrial, junctional, or ventricular beats, as well as 2° AVB that mimicked Wenckebach or Mobitz II block. Procainamide markedly suppressed H extrasystole. However, because of the presence of prolonged HV interval and history of presyncope, a permanent pacemaker was inserted. The case illustrates the varied manifestation of H extrasystole and presents guidelines for management. (PACE 2010; 1-4).
Authors:
Abdul Ameen; Amita Dharawat; Abdullah Khan; Gioia Turitto; Nabil El-Sherif
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Publication Detail:
Type:  Journal Article     Date:  2010-05-14
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  34     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e56-9     Citation Subset:  IM    
Copyright Information:
©2010, The Authors. Journal compilation ©2010 Wiley Periodicals, Inc.
Affiliation:
New York Harbor VA Healthcare Center, State University of New York Downstate Medical Center, Brooklyn, New York.
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