A 78-year-old female developed transient atrial fibrillation with complete A-V block after emotional stress, demonstrating various types of second degree A-V node-ventricular block on ECG.
Case Report (n=1)
A 78-year-old female transiently developed atrial fibrillation with complete A-V block and bilateral bundle branch block after she had a quarrel with a newly-appointed, ill-natured nurse. During this period the ECG showed various types of second degree A-V node-ventricular (N-V) block such as multiple second degree N-V block type II, inducing ventricular asystoles of varying durations and second degree N·V block type I (the Wenckebach period) showing a progressive shortening of and then a prompt increase in the RR interval. A special form of second degree N-V block in which a period of progressive shortening of the RR interval was followed by a period of constant RR interval and then terminated by second degree N-V block type II was referred to as second degree N-V block type III. Occasionally, the Wenckebach period in second degree N-V block was followed by a progressive increase in the RR interval which was designated as the counter-Wenckebach period.
Kimiaki Nakamoto (Thu,) conducted a case report in Atrial fibrillation with complete A-V block and bilateral bundle branch block (n=1). Emotional stress (quarrel) was evaluated on ECG findings of second degree A-V node-ventricular block. A 78-year-old female developed transient atrial fibrillation with complete A-V block after emotional stress, demonstrating various types of second degree A-V node-ventricular block on ECG.