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- W2238902131 abstract "Aman inhis70swithhypertension, coronaryarterydisease (CAD), and right coronary (RCA) stent placement 2 months prior for unstable anginapresented to theemergencydepartment after anepisodeofpresyncope, a senseof chest tightness, andpalpitations.He had a history of left bundle branch block (LBBB) on electrocardiography (ECG). His medications included carvedilol, aspirin, clopidogrel, and lovastatin. In theemergencydepartment, his ECGshowed first-degreeheart block andLBBB, and telemetry showedatrioventricular (AV)Wenckebach (ie, Mobitz type 1) heart block (Figure 1). Periods of 2:1 AV block were also captured (Figure 2). A subsequent echocardiogram showed left ventricular hypertrophy but was otherwise normal. Cardiac catheterization demonstrated the recent RCA stent and a chronic left anterior descending (LAD) stent to be patent. Without an ischemic etiology for his symptoms, and noting his cardiac conduction disease, the emergency department referred the patient for electrophysiology study (EPS) (Figure 3). Questions:Where is the lesion in this patient’s conduction system? Should a pacemaker be considered in this patient?" @default.
- W2238902131 created "2016-06-24" @default.
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- W2238902131 date "2016-03-01" @default.
- W2238902131 modified "2023-09-23" @default.
- W2238902131 title "Wenckebach—Second-Degree Heart Block and the Company It Keeps" @default.
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- W2238902131 doi "https://doi.org/10.1001/jamainternmed.2015.7592" @default.
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