A case of spontaneous pneumothorax presenting with high-degree atrioventricular block.

Abstract:

:The myocardial electrical conduction is significantly influenced by the sympathetic and parasympathetic nervous systems. Hypervagotonia refers to increased vagal tone leading to sinus bradycardia, sinus pause, or any degree of atrioventricular (AV) block. There are many clinical, electrocardiographic, and electrophysiologic clues that help make the diagnosis of hypervagotonia as the cause of bradyarrhythmias. We describe a case of spontaneous pneumothorax presenting with symptomatic high-degree AV block and subsequent electrophysiologic diagnosis of hypervagotonia. The patient had complete resolution of his bradycardia and AV block after chest tube placement. This case is intended to alert cardiologists to this rare presentation of spontaneous pneumothorax.

journal_name

J Electrocardiol

authors

Oghlakian G,Correia J

doi

10.1016/j.jelectrocard.2009.07.018

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

648-50

issue

6

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(09)00338-0

journal_volume

42

pub_type

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