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09 April 2024: Articles

Pause-Dependent Paroxysmal Episode of Third-Degree Atrioventricular Block Triggered by Premature Atrial Contraction

Challenging differential diagnosis, Management of emergency care, Rare disease

Chengye Di E , Wenhua Lin E*

DOI: 10.12659/AJCR.943160

Am J Case Rep 2024; 25:e943160

Figure 3. The nonconducted premature atrial contraction triggered another transient episode of third-degree atrioventricular block, and ventricular asystole was terminated by pacing. The long P-P pause and the block of the second atrial impulse (marked as *) created a linking phenomenon that persisted for 5 cycles. The His potential was recorded, indicating that the block site was distal, at the infra-His-Purkinje system (paper speed 100 mm/s). HIS – His bundle; CS – coronary sinus; RVa – right ventricle

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923