Syncope and Idiopathic (Paroxysmal) AV Block.

Abstract:

:Syncope due to idiopathic AV block is characterized by: 1) ECG documentation (usually by means of prolonged ECG monitoring) of paroxysmal complete AV block with one or multiple consecutive pauses, without P-P cycle lengthening or PR interval prolongation, not triggered by atrial or ventricular premature beats nor by rate variations; 2) long history of recurrent syncope without prodromes; 3) absence of cardiac and ECG abnormalities; 4) absence of progression to persistent forms of AV block; 5) efficacy of cardiac pacing therapy. The patients affected by idiopathic AV block have low baseline adenosine plasma level values and show an increased susceptibility to exogenous adenosine. The APL value of the patients with idiopathic AV block is much lower than patients affected by vasovagal syncope who have high adenosine values.

journal_name

Cardiol Clin

journal_title

Cardiology clinics

authors

Brignole M,Deharo JC,Guieu R

doi

10.1016/j.ccl.2015.04.012

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

441-7

issue

3

eissn

0733-8651

issn

1558-2264

pii

S0733-8651(15)00039-9

journal_volume

33

pub_type

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