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Complete Heart Block in a Diabetic Patient with a Preexisting LBBB and Normal Coronaries, Paradoxically Responding to Atropine
Joint Authors
Ioakeimidis, Nikolaos S.
Valasiadis, Dimitrios
Nanis, Lykourgos
Kligkatsis, Pantelis
Papastefanou, Stefanos
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-30
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Ioakeimidis, Nikolaos S.& Valasiadis, Dimitrios& Nanis, Lykourgos& Kligkatsis, Pantelis& Papastefanou, Stefanos. 2018. Complete Heart Block in a Diabetic Patient with a Preexisting LBBB and Normal Coronaries, Paradoxically Responding to Atropine. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1137244
Modern Language Association (MLA)
Ioakeimidis, Nikolaos S.…[et al.]. Complete Heart Block in a Diabetic Patient with a Preexisting LBBB and Normal Coronaries, Paradoxically Responding to Atropine. Case Reports in Cardiology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1137244
American Medical Association (AMA)
Ioakeimidis, Nikolaos S.& Valasiadis, Dimitrios& Nanis, Lykourgos& Kligkatsis, Pantelis& Papastefanou, Stefanos. Complete Heart Block in a Diabetic Patient with a Preexisting LBBB and Normal Coronaries, Paradoxically Responding to Atropine. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1137244
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137244