May 1, 1983Pacing and Clinical Electrophysiology
Normal Electrophysiological Findings in a Patient with Symptomatic Intermittent Advanced Atrioventricular Block
Population
1 otherwise healthy young woman presenting with syncope during episodes of advanced atrioventricular block.
Design
Case_report
Authors
Discussion
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Member takes
Implication
Normal EP findings may miss symptomatic intermittent AV block; this case leaves open the diagnostic limits of routine electrophysiologic testing.
Structured PICO
P
Population
1 otherwise healthy young woman presenting with syncope during episodes of advanced atrioventricular (AV) block.
I
Intervention
Permanent pacemaker implantation and electrophysiologic investigation (His bundle recordings, carotid sinus massage).
O
Outcome
Symptom resolution (freedom from symptoms).
This case highlights that routine electrophysiologic investigation may be normal and thus limited in diagnosing symptomatic intermittent advanced AV block.
Cite This Study
Huang et al. (1983) studied this question.