Infra-Hisian block as cause of Wenckebach's phenomenon in an asymptomatic middle-aged man
Key result
Permanent dual-chamber pacemaker implantation successfully treated a 60-year-old man with asymptomatic sinus bradycardia and Infra-Hisian block presenting as Wenckebach's phenomenon.
Population
60-year-old man with asymptomatic sinus bradycardia and Holter recording showing episodes of Wenckebach…
Design
Case_report
Authors
Discussion
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Member takes
Implication
Successful pacing in asymptomatic Infra-Hisian Wenckebach block; leaves open indications for intervention in similar cases.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 60-year-old man with asymptomatic sinus bradycardia and episodes of Wenckebach block alternating with 2:1 block.
I
Intervention
Electrophysiological testing and permanent dual-chamber pacemaker implantation
O
Outcome
Successful treatment of the block
Infra-Hisian block can present as Wenckebach's phenomenon on surface ECG and can be successfully managed with a dual-chamber pacemaker.
Cite This Study
Antoniadis et al. (2010) conducted a case report in Asymptomatic sinus bradycardia with Wenckebach block (n=1). Permanent dual-chamber pacemaker implantation was evaluated. Permanent dual-chamber pacemaker implantation successfully treated a 60-year-old man with asymptomatic sinus bradycardia and Infra-Hisian block presenting as Wenckebach's phenomenon.