Document Detail


Transient complete atrioventricular block provoked by ventricular pacing in a patient with nonsustained ventricular tachycardia.
MedLine Citation:
PMID:  10338038     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 75-year-old woman with complete left bundle branch block underwent electrophysiological study (EPS) to assess the conduction in the His-Purkinje conduction system and to further investigate the electrical instability in the ventricle, which was suggestive by the findings of nonsustained ventricular tachycardia in ambulatory monitoring. Transient complete atrioventricular (AV) block was provoked by ventricular pacing, and the intracardiac recordings proved that the site of AV block was distal to the His bundle. This phenomenon was not related to the rate or the duration of the ventricular pacing. The transient impairment of the conduction appeared to be due to the fatigue phenomenon in the His-Purkinje system.
Authors:
T Sasano; K Okishige; K Azegami; H Ohira; K Yamashita; S Satake
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  32     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  1999 Apr 
Date Detail:
Created Date:  1999-07-08     Completed Date:  1999-07-08     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  185-90     Citation Subset:  IM    
Affiliation:
Cardiovascular Department, Yokohama Red Cross Hospital, Yokohama City, Kanagawa, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Bundle of His / physiopathology
Cardiac Pacing, Artificial / adverse effects*
Electrocardiography, Ambulatory
Female
Heart Block / etiology*
Humans
Purkinje Fibers / physiopathology
Tachycardia, Ventricular / physiopathology,  therapy*

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


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