Pseudo atrioventricular block most likely caused by junctional extrasystoles mimicking Mobitz II second degree atrioventricular block: A case report

Hollanda, Lucas; Sobral, Ricardo; Luize, Christian Moreno; Carvalho, Marcel Fernando Silva; Andrade, João; Dietrich, Cristiano de Oliveira

doi:10.1016/j.hrcr.2020.05.002

Cited by 2 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Median age was 48.5 years with a range of 60 years. There were 36.8% 14 patients in age group <45 years while 42.1% 16 were in age group 45 to 65 years and 21.1% 8 were in the age group >65 years. The maximum and minimum Heart rate were 180 and 35 beats per minute respectively.…”

Section: Resultsmentioning

confidence: 90%

“…Hereby it seems essential to study palpitation by Holter to reveal rare cardiac rhythm disorder as its etiology. 14 A study by Jeff hong et al found that patients evaluated for chest pain, palpitations and syncope were having postural tachycardia syndrome in 24-hour holter study. Thus need for holter monitoring for evaluation of palpitation is advantageous in revealing various cardiac arrhythmia.…”

Section: Review Of Literaturementioning

confidence: 99%

See 1 more Smart Citation

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

Pandey,

Karki,

Pandey

et al. 2023

J Adv Intern Med

View full text Add to dashboard Cite

BACKGROUND Palpitation is one of the most common indications for Holter study. 24- hour Holter monitoring helps to detect abnormal cardiac rhythm which can be managed earlier if picked up sooner. Spot ECG has less sensitivity to pick episodic abnormal rhythm so longer monitoring time is essential. Various treatment modalities can thus be planned for non-benign and relatively benign arrhythmias like VT and PSVT respectively. METHODS This was a single center prospective observational cross-sectional study conducted at BPKIHS, Dharan for three months between July 2023 to September 2023. The primary objective was to study abnormal cardiac electrical events in patients having palpation. There were 38 patients of palpitations that underwent 24-hour Holter study after fulfilling inclusion criteria. The data was recorded on an excel sheet and was analyzed using software SPSS 20. RESULTS There were 47.4% (18) males and 52.6% (20) females. The mean age was 49.61± 17.63 years. There were 36.8% (14) patients in age group <45 years while 42.1% (16) were in age group 45 to 65 years and 21.1% (8) were in the age group >65 years. The maximum and minimum Heart rate were 180 and 35 beats per minute respectively. There was abnormal Holter ECG in 57.9% (22) and 42.1% (16) had normal ECG. Most common arrhythmia was VPC 17(77.2%) in our study. The association between the age group and Normal vs Abnormal Holter ECG was statistically significant (P Value=0.023) (Table 8). DM was the most common co-morbid illness in 5(13.2%), one participant had DM and HTN along with Dyslipidemia and other findings were smoking (5.3%), dyslipidemia (5.3%). There was no association between comorbid conditions and normal vs abnormal ECG Holter rhythm (P Value = 0.448). CONCLUSION Out of 38 participants VPC was the most common (77.2%) arrhythmia. The association between Age group and Normal vs Abnormal Holter was statistically significant (P Value=0.023). Most of the arrhythmias were benign. Diabetes was the most common risk factor present while 50% of subjects had no co-morbid illness.

show abstract

Section: Resultsmentioning

confidence: 90%

Section: Review Of Literaturementioning

confidence: 99%

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

Pandey,

Karki,

Pandey

et al. 2023

J Adv Intern Med

View full text Add to dashboard Cite

show abstract

“…In our patient, the most likely reason for pseudo-Mobitz type II AV block is the excessive release of oxytocin during labor, which stabilized after the delivery. Infrequent wide QRS complex, AV block not initiated by premature beats, presence of PR prolongation, sinus slowing during ventricular asystole, and sinus acceleration on resumption of conduction are criteria for vagal-mediated AV block [ 2 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Managing a Pseudo-Mobitz Type II Atrioventricular (AV) Block Intrapartum: A Case Report

Othman,

Konok,

Engku Ismail

et al. 2023

Cureus

View full text Add to dashboard Cite

Atrioventricular (AV) block in pregnancy is rare, but it is a serious arrhythmia that needs to be carefully managed in pregnancy. However, as of now, there are no clear guidelines or consensus for intrapartum management. Most of the time, an intrapartum AV block is secondary to hypervagatonic sinus node dysfunction and is treated conservatively. Hypervagatonic sinus node dysfunction has a heterogeneous presentation of AV block, and pseudo-Mobitz type II in labor is rarely reported. We report a case of pseudo-Mobitz type II AV block during pregnancy due to labor pain, which is successfully managed conservatively.

show abstract

Pseudo atrioventricular block most likely caused by junctional extrasystoles mimicking Mobitz II second degree atrioventricular block: A case report

Cited by 2 publications

References 5 publications

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

Managing a Pseudo-Mobitz Type II Atrioventricular (AV) Block Intrapartum: A Case Report

Contact Info

Product

Resources

About