scholarly journals Case Report On: Complete Heart Block

2021 ◽  
pp. 82-87
Author(s):  
Archana Dhengare ◽  
Ruchira Ankar ◽  
Ranjana Sharma ◽  
Sheetal Sakharkar ◽  
Arati Raut ◽  
...  
Keyword(s):  
Chest Pain ◽  
Heart Block ◽  
Complete Heart Block ◽  
Heart Rhythm ◽  
Electrical Signal ◽  
Chief Complaint ◽  
Patient History ◽  
Severe Chest Pain ◽  
Lower Chamber ◽  
Upper Chamber

When the electrical signal normally does not travel from the atria, the upper chambers of the heart, to the ventricles, or lower chambers, full heart block occurs. During surgery, the atrio ventricular (AV) node is weakened and complete heart block can result. Often, complete heart block occurs naturally without surgery [1]. Patient History: Heart block is an irregular heart rhythm where the heart (bradycardia) beats too slowly. In this condition, between the upper chamber (atria) and the lower chamber (ventricles), the electrical signals that tell the heart to contract are partially or completely blocked. Present history- The patient 71-year old male who was admitted to hospital on date 25/11/2019 with the chief complaint was severe chest pain, breathlessness, excessive palpitation, vertigo, and sweating since in 4 months. Conclusion: The patient was admitted in the hospital with the chief complaint  of severe chest pain, breathlessness, excessive palpitation, vertigo and sweating since 4 months and his condition was very critical and the patient was admitted in AVBR Hospital and immediate treatment was started.

scholarly journals A Reversible Cause of Complete Heart Block Causing Chest Pain and Syncope

Cureus ◽  
2017 ◽  
Author(s):  
Syed Rafay Ali Sabzwari ◽  
Zoltan Varga ◽  
Khurram Butt ◽  
Nimra Khan
Keyword(s):  
Chest Pain ◽  
Heart Block ◽  
Complete Heart Block

scholarly journals Complete Heart Block in a Diabetic Patient with a Preexisting LBBB and Normal Coronaries, Paradoxically Responding to Atropine

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Nikolaos S. Ioakeimidis ◽  
Dimitrios Valasiadis ◽  
Lykourgos Nanis ◽  
Pantelis Kligkatsis ◽  
Stefanos Papastefanou
Keyword(s):  
Sinus Rhythm ◽  
Heart Block ◽  
Complete Heart Block ◽  
Heart Rhythm ◽  
Hemodynamic Instability ◽  
Sudden Onset ◽  
Bundle Branch Block ◽  
Escape Rhythm ◽  
Tertiary Center ◽  
Peripheral Pulse

We present a case of a complete atrioventricular block (AV block) with different aberrancy patterns during sinus rhythm and escape rhythm. A 66-year-old woman visited our emergency department complaining of sudden onset dizziness and fatigue over the past thirty minutes. Her medical history was remarkable for arterial hypertension, type 2 diabetes mellitus, and hypothyroidism. The patient had a known Left Bundle Branch Block (LBBB) on past ECGs. Upon palpation of peripheral pulse, a measurement of 32 beats per minute was obtained. No other sign of hemodynamic instability was present. A 12-Lead ECG revealed a complete heart block with sparse QRS complexes with a Right Bundle Branch Block (RBBB) morphology. Before the insertion of a temporary transvenous pacemaker, atropine was administered intravenously. Shortly after the administration, the patient’s heart rhythm was restored to sinus rhythm (SR) with LBBB. The patient remained hemodynamically stable and in sinus rhythm at the cardiac ICU and was scheduled for implantation of a permanent pacemaker at a specialized tertiary center. Before successful implantation, a coronary angiography revealed normal coronary anatomy with no atherosclerotic lesions.

Congenital Complete Heart Block

2007 ◽  
Vol 3 (2) ◽  
pp. 111
Author(s):  
Robert Campbell ◽  
Peter Fischbach ◽  
Patricio Frias ◽  
Margaret Strieper ◽  
◽  
...  
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Congenital Complete Heart Block

A Case of 2:1 Atrio-Ventricular Block- Unravelled by Exercise Testing

2020 ◽  
Vol 02 ◽  
Author(s):  
Sharada Sivaram Kalavakolanu ◽  
Madan Mohan Balakrishnan ◽  
Deepesh Venkatarama
Keyword(s):  
Exercise Testing ◽  
Exercise Test ◽  
Heart Block ◽  
Complete Heart Block ◽  
Pacemaker Implantation ◽  
Ecg Monitoring ◽  
Permanent Pacing ◽  
Mill Test

: We present a case of 75-year-old lady with effort intolerance and baseline ECG showing 2:1 atrio-ventricular block, in whom it was unclear as to requirement of permanent pacing, even after long term ECG monitoring. She underwent a tread mill test during which her QRS became wide and developed complete heart block within 2 minutes of the test. Thus, a simple exercise test helped in confirming level of block to be infra nodal without need for invasive study. In patients with exertional symptoms, even in elderly, and in those where ECG masquerades as a benign entity, exercise testing is useful to differentiate benign cases of atrio-ventricular block from the more serious cases that mandate a pacemaker implantation.

scholarly journals Expert’s Opinion–Challenging ECG

2020 ◽  
Vol 5 (04) ◽  
pp. 368-372
Author(s):  
Seema Kale
Keyword(s):  
Myocardial Ischaemia ◽  
Heart Block ◽  
Complete Heart Block ◽  
Conduction System ◽  
Av Block ◽  
Av Node ◽  
Purkinje System ◽  
Expert’S Opinion

AbstractVarying kinds of AV blocks can occur in the setting of myocardial ischaemia or due to degeneration of conduction system. Wenckebach AV block can present with typical Wenckebach periodicity or atypical periodicity. A variant of atypical Wenckebach periodicity may present like Mobitz II AV block. This is called Pseudo Mobitz II AV block. As we are aware that Mobitz II AV block is more dangerous and can suddenly convert into complete heart block, it is essential that we should try to differentiate between Mobitz and Pseudo Mobitz II blocks. Infact atypical Wenckebach cycles are quite common at both AV node and his Purkinje system.

scholarly journals B-PO03-011 COMPLETE HEART BLOCK. . .WHY NOW?

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S193
Author(s):  
Angela L. Krebsbach ◽  
Nicholas James Abbott ◽  
Christopher M. Verdick ◽  
Peter M. Jessel ◽  
Charles A. Henrikson
Keyword(s):  
Heart Block ◽  
Complete Heart Block
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