• Heart Rhythm · Aug 2009

    Review

    Paroxysmal atrioventricular block.

    • Sinjin Lee, Hein J J Wellens, and Mark E Josephson.
    • Department of Cardiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. ghinii@yahoo.com
    • Heart Rhythm. 2009 Aug 1; 6 (8): 1229-34.

    AbstractParoxysmal atrioventricular block (AVB) is a poorly defined clinical entity characterized by abrupt and unexpected change from 1:1 atrioventricular conduction to complete heart block, leading to syncope and potential sudden cardiac death. Although a dangerous condition because of unreliable escape mechanism, proper diagnosis of paroxysmal AVB is often missed and overlooked because of its unfamiliarity, unpredictability, and in some cases, no clear evidence of atrioventricular conduction disease during normal 1:1 conduction.

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