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Fortuitous Identification of Fluctuating AV Block: A Case Report.

dc.contributor.authordeSouza, Ian S
dc.contributor.authorDilip, Monisha
dc.date.accessioned2023-01-27T17:59:50Z
dc.date.available2023-01-27T17:59:50Z
dc.date.issued2019-05-06
dc.identifier.citationdeSouza IS, Dilip M. Fortuitous Identification of Fluctuating AV Block: A Case Report. J Emerg Med. 2019 Jul;57(1):e9-e12. doi: 10.1016/j.jemermed.2019.03.033. Epub 2019 May 6. PMID: 31072656.en_US
dc.identifier.issn0736-4679
dc.identifier.doi10.1016/j.jemermed.2019.03.033
dc.identifier.pmid31072656
dc.identifier.urihttp://hdl.handle.net/20.500.12648/8157
dc.description.abstractVagally mediated atrioventricular block (AVB) may occur as a result of increased parasympathetic tone. This particular AVB is infrequently described in the literature, but its prevalence may be underestimated, as it may occur without recognition.
dc.description.abstractWe present a case of vagally mediated AVB that was identified by serial electrocardiography of a patient who presented to the emergency department with vomiting. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Vagally mediated AVB must be differentiated from paroxysmal, bradycardia-dependent AVB, which may progress to persistent AVB and require pacemaker placement. In an asymptomatic patient with vagally mediated AVB, pacemaker placement is contraindicated. However, if symptoms are clearly attributable to vagally mediated AVB, pacemaker placement may be reasonable.
dc.language.isoenen_US
dc.relation.urlhttps://www.jem-journal.com/article/S0736-4679(19)30240-9/fulltexten_US
dc.rightsCopyright © 2019 Elsevier Inc. All rights reserved.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectheart blocken_US
dc.subjectinfranodal blocken_US
dc.subjectnear syncopeen_US
dc.subjectparasympatheticen_US
dc.subjectparoxysmalen_US
dc.subjectpresyncopeen_US
dc.subjectreflex syncopeen_US
dc.subjectsyncopeen_US
dc.subjectvagal toneen_US
dc.subjectvasovagalen_US
dc.subjectvomitingen_US
dc.titleFortuitous Identification of Fluctuating AV Block: A Case Report.en_US
dc.typeArticle/Reviewen_US
dc.source.journaltitleThe Journal of emergency medicineen_US
dc.source.volume57
dc.source.issue1
dc.source.beginpagee9
dc.source.endpagee12
dc.source.countryUnited States
dc.description.versionAMen_US
refterms.dateFOA2023-01-27T17:59:51Z
html.description.abstractVagally mediated atrioventricular block (AVB) may occur as a result of increased parasympathetic tone. This particular AVB is infrequently described in the literature, but its prevalence may be underestimated, as it may occur without recognition.
html.description.abstractWe present a case of vagally mediated AVB that was identified by serial electrocardiography of a patient who presented to the emergency department with vomiting. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Vagally mediated AVB must be differentiated from paroxysmal, bradycardia-dependent AVB, which may progress to persistent AVB and require pacemaker placement. In an asymptomatic patient with vagally mediated AVB, pacemaker placement is contraindicated. However, if symptoms are clearly attributable to vagally mediated AVB, pacemaker placement may be reasonable.
dc.description.institutionSUNY Downstateen_US
dc.description.departmentEmergency Medicineen_US
dc.description.degreelevelN/Aen_US
dc.identifier.journalThe Journal of emergency medicine


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Copyright © 2019 Elsevier Inc. All rights reserved.
Except where otherwise noted, this item's license is described as Copyright © 2019 Elsevier Inc. All rights reserved.