Unusual pauses in sinus rhythm and intermittent 2 to 1 AV block in a patient with concealed his extra systoles - A rare cause of bradycardia

Siva K. Mulpuru; Ravi Diwan; Dayana Eslava Manchego; Cesare Saponieri; Balendu Vasavada

Unusual pauses in sinus rhythm and intermittent 2 to 1 AV block in a patient with concealed his extra systoles - A rare cause of bradycardia

Siva K. Mulpuru, Ravi Diwan, Dayana Eslava Manchego, Cesare Saponieri, Balendu Vasavada

Cardiovascular Diseases

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

A 56 year old male with a past medical history of hypertension and dyslipidemia presented with recurrent dizziness. Routine EKG was performed, which suggested frequent junctional extra systoles with compensatory pauses. During telemetry periods of 2:1 block with effective ventricular rate of 34 bpm was observed. His bundle study suggested frequent His extra systoles causing functional AV block. Treatment with anti-arrhythmic medication, paradoxically improved AV block and symptoms in our patient.

Original language	English (US)
Pages (from-to)	148-151
Number of pages	4
Journal	Indian Pacing and Electrophysiology Journal
Volume	10
Issue number	3
State	Published - Mar 1 2010

Keywords

Functional AV block
His extra systoles

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

Cite this

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abstract = "A 56 year old male with a past medical history of hypertension and dyslipidemia presented with recurrent dizziness. Routine EKG was performed, which suggested frequent junctional extra systoles with compensatory pauses. During telemetry periods of 2:1 block with effective ventricular rate of 34 bpm was observed. His bundle study suggested frequent His extra systoles causing functional AV block. Treatment with anti-arrhythmic medication, paradoxically improved AV block and symptoms in our patient.",

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AU - Diwan, Ravi

AU - Manchego, Dayana Eslava

AU - Saponieri, Cesare

AU - Vasavada, Balendu

PY - 2010/3/1

Y1 - 2010/3/1

N2 - A 56 year old male with a past medical history of hypertension and dyslipidemia presented with recurrent dizziness. Routine EKG was performed, which suggested frequent junctional extra systoles with compensatory pauses. During telemetry periods of 2:1 block with effective ventricular rate of 34 bpm was observed. His bundle study suggested frequent His extra systoles causing functional AV block. Treatment with anti-arrhythmic medication, paradoxically improved AV block and symptoms in our patient.

AB - A 56 year old male with a past medical history of hypertension and dyslipidemia presented with recurrent dizziness. Routine EKG was performed, which suggested frequent junctional extra systoles with compensatory pauses. During telemetry periods of 2:1 block with effective ventricular rate of 34 bpm was observed. His bundle study suggested frequent His extra systoles causing functional AV block. Treatment with anti-arrhythmic medication, paradoxically improved AV block and symptoms in our patient.

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KW - His extra systoles

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Unusual pauses in sinus rhythm and intermittent 2 to 1 AV block in a patient with concealed his extra systoles - A rare cause of bradycardia

Abstract

Keywords

ASJC Scopus subject areas

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