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Regular tachycardia despite Wenckebach atrioventricular conduction.

作者信息

Fuest Stephen, Gleva Marye J, Noheria Amit

机构信息

Department of Medicine, Washington University School of Medicine, St. Louis, MO, United States.

Electrophysiology Section, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, United States.

出版信息

J Electrocardiol. 2018 Jan-Feb;51(1):126-128. doi: 10.1016/j.jelectrocard.2017.08.034. Epub 2017 Sep 1.

DOI:10.1016/j.jelectrocard.2017.08.034
PMID:29033052
Abstract

We present a 21-year-old woman status post orthotopic heart transplantation initially presenting with a regular narrow complex tachycardia at 159beats/min. With intravenous diltiazem the rhythm transitioned to a regular tachycardia at 106beats/min, 2/3rd of the initial heart rate. We demonstrate this to be a novel description of 3:2second-degree Mobitz type I atrioventricular block (Wenckebach) with the absence of the hallmark regularly irregular (grouped beating) pattern.

摘要

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