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Kardiologia Polska (Polish Heart Journal)
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Vol 68, No 7 (2010)
Electrocardiogram of the month
Published online: 2010-07-20
Submitted: 2012-12-28
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Second-degree atrioventricular block in a patient with coexistant intermittent preexcitation syndrome that masks the electrocardiographic features of past myocardial infarction - diagnostic difficulties and management

Agnieszka Sanecka, Paweł Derejko, Rafał Baranowski
Kardiol Pol 2010;68(7):830-834.

open access

Vol 68, No 7 (2010)
Electrocardiogram of the month
Published online: 2010-07-20
Submitted: 2012-12-28

Abstract

We describe a case of a 60 year-old man after inferior wall myocardial infarction with intermittent preexcitation syndrome. In ECG, the pathologic Q waves in the inferior leads were masked by the intermittent preexcitation. In this patient, paroxysmal asymptomatic second-degree atrioventicular block coexists with inconstant atrioventricular conduction maintained by the accessory pathway, periodically 2:1.
Kardiol Pol 2010; 68, 7: 830-834

Abstract

We describe a case of a 60 year-old man after inferior wall myocardial infarction with intermittent preexcitation syndrome. In ECG, the pathologic Q waves in the inferior leads were masked by the intermittent preexcitation. In this patient, paroxysmal asymptomatic second-degree atrioventicular block coexists with inconstant atrioventricular conduction maintained by the accessory pathway, periodically 2:1.
Kardiol Pol 2010; 68, 7: 830-834

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Keywords

intermittent preexcitation syndrome; second-degree atrioventricular block; myocardial infarction

About this article
Title

Second-degree atrioventricular block in a patient with coexistant intermittent preexcitation syndrome that masks the electrocardiographic features of past myocardial infarction - diagnostic difficulties and management

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 68, No 7 (2010)

Pages

830-834

Published online

2010-07-20

Bibliographic record

Kardiol Pol 2010;68(7):830-834.

Keywords

intermittent preexcitation syndrome
second-degree atrioventricular block
myocardial infarction

Authors

Agnieszka Sanecka
Paweł Derejko
Rafał Baranowski

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