Document Detail


Prolonged Ventricular Pauses in an Asymptomatic Athlete with "Apparent Mobitz Type II Second-Degree Atrioventricular Block"
MedLine Citation:
PMID:  21261666     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We report the case of a 30-year-old basketball player with asymptomatic, nocturnal ventricular pauses of >3,000 ms, the longest being ∼12,000 ms, who was misdiagnosed with Mobitz type II second-degree atrioventricular (AV) block. Conversely, the tracings were characteristic of a vagally mediated AV block, a phenomenon first described by Massie and called "apparent Mobitz type II AV block." Although the patient was asymptomatic with ventricular pauses occurring only at night, it was decided to implant a permanent pacemaker to prevent neurological damage or life-threatening ventricular arrhythmias resulting from repeated, abnormally prolonged ventricular pauses. The persistence of AV block after a 3-month detraining period led us to believe that our decision was reasonable. (PACE 2011; 1-4).
Authors:
Francesco Rotondi; Luciano Marino; Tonino Lanzillo; Fiore Manganelli; Paolo Zeppilli
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-24
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  -     ISSN:  1540-8159     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2011, The Authors. Journal compilation ©2011 Wiley Periodicals, Inc.
Affiliation:
Division of Cardiology, "San Giuseppe Moscati" Hospital, Avellino, Italy Sports Medicine Department, Institute of Internal Medicine and Geriatrics, Catholic University of the Sacred Heart, Rome, Italy.
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