Document Detail


Paradoxical shortening of the second PR interval during 3:2 atrioventricular nodal block.
MedLine Citation:
PMID:  8930742     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with 3:2 second-degree AV block after acute inferior wall myocardial infarction showed consistent PR interval shortening on the second conducted beat in each periodicity. Intracardiac electrophysiologic evaluation revealed that the site of block was nodal. A typical Wenckebach pattern with prolongation of the AH interval was noted. The shorter PR resulted from a paradoxical shortening of the HV interval in the second beat, most likely due to supernormal conduction in the setting of concomitant trifascicular disease.
Authors:
S L Pinski; P J Tchou; R G Trohman
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  7     ISSN:  1045-3873     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-02-20     Completed Date:  1997-02-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1091-4     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Cleveland Clinic Foundation, OH 44195, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Electrocardiography*
Heart Block / physiopathology*
Humans
Male

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


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