Atypical Wenckebach without grouped beating due to dual AV nodal conduction

John M. Cunningham, Ann Mackey, Charles Tharp

Producción científica: Articlerevisión exhaustiva

Resumen

A 31-year-old woman reported dizziness in the early postpartum period after receiving dexmedetomidine. The ECG was misinterpreted as complete heart block; however, more careful analysis revealed an atypical Wenckebach pattern with dual AV nodal conduction and termination of nonconducted P waves with junctional escape beats. The patient's rhythm returned to sinus after stopping dexmedetomidine. Atypical Wenckebach patterns account for greater than 50% of patients with Mobitz Type I AV block and can be misinterpreted as high-grade AV block. This case highlights the causes of atypical Wenckebach patterns and how careful analysis of intervals can help clinicians avoid misdiagnosis.

Idioma originalEnglish (US)
Páginas (desde-hasta)83-85
Número de páginas3
PublicaciónJournal of Electrocardiology
Volumen82
DOI
EstadoPublished - ene 1 2024

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Huella

Profundice en los temas de investigación de 'Atypical Wenckebach without grouped beating due to dual AV nodal conduction'. En conjunto forman una huella única.

Citar esto