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January 1, 1997Japanese Circulation JournalOpen Access

Exercise-Induced Second-Degree Atrioventricular Block

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Population

2 patients with exercise-induced second-degree atrioventricular block.

Design

Case_series

Authors

YYYousuke YuzukiJapanese Red Cross Society Wakayama Medical CenterMHMinoru HorieElectrophysiologyTMToshinori MakitaOsaka Red Cross Hospital

Discussion

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Implication

May support exercise testing for exertional symptoms; leaves open prospective validation before practice change.

Structured PICO

P
Population
2 patients with exercise-induced second-degree atrioventricular (AV) block (Case 1: 49-year-old man with normal resting AV conduction and dyspnea on exertion; Case 2: 31-year-old woman with first-degree AV block, complete RBBB, dyspnea, occasional syncope, and prior surgical patch closure of ostium primum ASD).
I
Intervention
Exercise testing (treadmill) and electrophysiologic study (EPS)
O
Outcome
Development of second-degree AV block during exercise or EPSsurrogate

Exercise testing and electrophysiologic studies can unmask exercise-induced second-degree AV block in patients presenting with exertional dyspnea or syncope.

Cite This Study

Yuzuki et al. (1997) studied this question.

synapsesocial.com/papers/6a09075c62c780efd627fc49https://doi.org/10.1253/jcj.61.268
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Significance of exercise-induced second degree atrioventricular block.1975 · 40 citations
  2. 2Atrioventricular block response to exercise and intraventricular conduction at rest.1972 · 14 citations
  3. 3Significance of block distal to the His bundle induced by atrial pacing in patients with chronic bifascicular block.1979 · 161 citations
  4. 4Surgical Treatment of Partial Atrioventricular Canal1973 · 45 citations
  5. 5Exercise-induced distal atrioventricular block1983 · 106 citations