Prolonged Ventricular Pauses in an Asymptomatic Athlete with "Apparent Mobitz Type II Second-Degree Atrioventricular Block"

Paolo Zeppilli, F Rotondi, L Marino, T Lanzillo, F Manganelli

Risultato della ricerca: Contributo in rivistaArticolo in rivista

4 Citazioni (Scopus)

Abstract

We report the case of a 30-year-old basketball player with asymptomatic, nocturnal ventricular pauses of >3,000 ms, the longest being similar to 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; 14)
Lingua originaleEnglish
pagine (da-a)210-213
Numero di pagine4
RivistaPACING AND CLINICAL ELECTROPHYSIOLOGY
Volume35
DOI
Stato di pubblicazionePubblicato - 2012

Keywords

  • electrocardiogram
  • imaging

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