scholarly journals COMPLETE ATRIOVENTRICULAR BLOCK FOLLOWING SURGICAL VALVE REPLACEMENT: ARE PATIENTS STILL PACED AT 1 YEAR FOLLOW-UP?

2019 ◽  
Vol 35 (10) ◽  
pp. S137
Author(s):  
C. Laurin ◽  
J. Frederic ◽  
C. Steinberg ◽  
J. Champagne ◽  
D. Kalavrouziotis ◽  
...  
2016 ◽  
pp. 985-993 ◽  
Author(s):  
Andrzej Klapkowski ◽  
Rafał Pawlaczyk ◽  
Maciej Kempa ◽  
Dariusz Jagielak ◽  
Maciej Brzeziński ◽  
...  

2017 ◽  
Vol 45 (5) ◽  
pp. 1597-1601 ◽  
Author(s):  
Zhenyu Jiao ◽  
Ying Tian ◽  
Xinchun Yang ◽  
Xingpeng Liu

A 59-year-old male patient was admitted with the main complaints of stuffiness and shortness of breath. An ECG from precordial leads on admission showed masquerading bundle branch block. Syncope frequently occurred after admission. During syncope episodes, ECG telemetry showed that the syncope was caused by intermittent complete atrioventricular block, with the longest RR interval lasting for 4.36 s. At the gap of syncope, ECG showed complete right bundle branch block accompanied by alternation of left anterior fascicular block and left posterior fascicular block. The patient was implanted with a dual-chamber permanent pacemaker. Follow-up of 9 months showed no reoccurrence of syncope.


2007 ◽  
Vol 30 (11) ◽  
pp. 1339-1343 ◽  
Author(s):  
GERTIE C.M. BEAUFORT-KROL ◽  
MIEK J.M. SCHASFOORT-VAN LEEUWEN ◽  
YMKJE STIENSTRA ◽  
MARGREET Th.E. BINK-BOELKENS

2017 ◽  
Vol 7 (3) ◽  
pp. 218-223 ◽  
Author(s):  
Silvia Aguiar Rosa ◽  
Ana Teresa Timóteo ◽  
Lurdes Ferreira ◽  
Ramiro Carvalho ◽  
Mario Oliveira ◽  
...  

Purpose: The aim was to characterise acute coronary syndrome patients with complete atrioventricular block and to assess the effect on outcome. Methods: Patients admitted with acute coronary syndrome were divided according to the presence of complete atrioventricular block: group 1, with complete atrioventricular block; group 2, without complete atrioventricular block. Clinical, electrocardiographic and echocardiographic characteristics and prognosis during one year follow-up were compared between the groups. Results: Among 4799 acute coronary syndrome patients admitted during the study period, 91 (1.9%) presented with complete atrioventricular block. At presentation, group 1 patients presented with lower systolic blood pressure, higher Killip class and incidence of syncope. In group 1, 86.8% presented with ST-segment elevation myocardial infarction (STEMI), and inferior STEMI was verified in 79.1% of patients in group 1 compared with 21.9% in group 2 ( P<0.001). Right ventricular myocardial infarction was more frequent in group 1 (3.3% vs. 0.2%; P<0.001). Among patients who underwent fibrinolysis complete atrioventricular block was observed in 7.3% in contrast to 2.5% in patients submitted to primary percutaneous coronary intervention ( P<0.001). During hospitalisation group 1 had worse outcomes, with a higher incidence of cardiogenic shock (33.0% vs. 4.5%; P<0.001), ventricular arrhythmias (17.6% vs. 3.6%; P<0.001) and the need for invasive mechanical ventilation (25.3% vs. 5.1%; P<0.001). After a propensity score analysis, in a multivariate regression model, complete atrioventricular block was an independent predictor of hospital mortality (odds ratio 3.671; P=0.045). There was no significant difference in mortality at one-year follow-up between the study groups. Conclusion: Complete atrioventricular block conferred a worse outcome during hospitalisation, including a higher incidence of cardiogenic shock, ventricular arrhythmias and death.


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