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January 6, 2012Journal of Medical Cases

Exercise Induced Atrioventricular Block in a Patient With Aortic Stenosis

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Population

62-year-old man with recurrent presyncopal episodes and moderate aortic stenosis

Design

Case_report

Authors

RGRichard GoodInterventional CardiologyACAndrew R. ChapmanInterventional CardiologyJSJamie SmithMayo Clinic in Arizona

Discussion

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Overview

Supports evaluating for treatable AV block in aortic stenosis presyncope; leaves open generalizability pending prospective data.

Structured PICO

P
Population
62-year-old man with recurrent presyncopal episodes and moderate aortic stenosis
I
Intervention
Exercise testing
O
Outcome
Exercise-induced transient AV node block and prolonged ventricular pause

This case highlights that potentially treatable conduction disorders like AV block should be considered in patients with aortic stenosis presenting with isolated presyncope, and can be unmasked by exercise testing.

Cite This Study

Good et al. (2012) studied this question.

synapsesocial.com/papers/6a9230ef455c025ecaf0c6f0https://doi.org/10.4021//jmc.v3i1.464
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Also Consider

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

  1. 1Exercise-Induced Second-Degree Atrioventricular Block1997 · 14 citations
  2. 2Exercise-induced Atrioventricular Block with Coronary Artery Stenosis that Appeared Five Years after Bypass Surgery2017 · 5 citations
  3. 3Exercise-induced Atrioventricular Block Progressing to Complete Atrioventricular Block 4 Years after the Initial Presentation: A Case Report2026
  4. 4Syncope due to Paroxysmal Complete Atrioventricular Block in a Patient with Aortic Valve Stenosis2014 · 5 citations
  5. 5Reversible complete atrioventricular block caused by aortic bicuspid valve calcification with severe aortic stenosis: a case report2024 · 3 citations