1,618 results match your criteria Heart Block Second Degree

Evaluation of analgesic interaction between morphine, maropitant and dexmedetomidine in dogs undergoing ovariohysterectomy.

N Z Vet J 2021 May 5:1-27. Epub 2021 May 5.

School of Veterinary Science, Massey University, Palmerston North, New Zealand.

Aims: To compare the analgesic effect of morphine combined with maropitant and/or dexmedetomidine to morphine alone given at a higher dose, and to evaluate the pharmacokinetics of the drug combinations, in dogs undergoing ovariohysterectomy (OHE).

Methods: Forty client owned-dogs were randomised into four treatment groups (n=10 per group) each to receive a different analgesic protocol. After premedication with I/M acepromazine anaesthesia was induced with propofol to effect and maintained with isoflurane in 100% oxygen delivered via a circle system. Read More

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Remote Heart Rhythm Monitoring by Photoplethysmography-Based Smartphone Technology After Cardiac Surgery: Prospective Observational Study.

JMIR Mhealth Uhealth 2021 Apr 15;9(4):e26519. Epub 2021 Apr 15.

Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium.

Background: Atrial fibrillation (AF) is the most common arrhythmia after cardiac surgery, yet the precise incidence and significance of arrhythmias after discharge home need to be better defined. Photoplethysmography (PPG)-based smartphone apps are promising tools to enable early detection and follow-up of arrhythmias.

Objective: By using a PPG-based smartphone app, we aimed to gain more insight into the prevalence of AF and other rhythm-related complications upon discharge home after cardiac surgery and evaluate the implementation of this app into routine clinical care. Read More

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Second-degree atrioventricular block after administration of methylergometrine for treatment of uterine atony during cesarean section.

Rev Esp Anestesiol Reanim 2021 Apr 7. Epub 2021 Apr 7.

Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Canarias, San Cristóbal de La Laguna, Santa Cruz de Tenerife, España.

Mortality due to cardiovascular disease in pregnancy is a growing problem in developed countries, being nowadays the leading cause of maternal death. Within this group, the most common cause of death are congenital or acquired heart diseases, representing a challenge in the management of these patients, since the pregnancy-related physiological alterations can impair their basal condition and treatment. We present the case of a 34-year-old patient, without any relevant pathological antecedents, who developed a second-degree atrioventricular block, Mobitz type I, following the administration of methylergometrine during cesarean section due to failure to progress in labour. Read More

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Clinical symptoms of limited exercise capacity linked to AAI-DDD functionality: An in silico and in vivo approach.

Pacing Clin Electrophysiol 2021 May 21;44(5):943-951. Epub 2021 Apr 21.

Cardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan 164, Aalst, B-9300, Belgium.

Background: Exercise capacity is an important aspect of quality of life in patients undergoing pacemaker implantation. Device algorithms for ventricular pacing avoidance have been developed to avoid unnecessary and potentially harmful effects of right ventricular pacing. However, little data exists on the immediate response of these algorithms to sudden AV block during exercise. Read More

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Single-Chamber Cardiac Pacemaker Implantation in a Donkey with Complete AV Block: A Long-Term Follow-Up.

Animals (Basel) 2021 Mar 9;11(3). Epub 2021 Mar 9.

Equine Clinic, Faculty of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Palackého tř. 1946/1, 612 42 Brno, Czech Republic.

A five-month-old African jenny was presented with a history of exercise intolerance and syncopal episodes. Severe bradycardic arrhythmia due to a high-grade second-degree atrioventricular (AV) block with progression to complete AV block was diagnosed. The jenny underwent a transvenous single-chamber pacemaker implantation. Read More

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Anti-MDA5 juvenile idiopathic inflammatory myopathy with second-degree heart block but no skin or lung involvement: a case report.

BMC Rheumatol 2021 Apr 2;5(1). Epub 2021 Apr 2.

Department of Pediatrics, Division of Rheumatology, Allergy & Immunology, University of Minnesota, Minneapolis, USA.

Background: Patients with idiopathic inflammatory myopathy and autoantibodies directed against melanoma differentiation-associated protein 5 (MDA5) characteristically have interstitial lung disease, severe cutaneous involvement, arthritis, and relatively mild myositis. Cardiac involvement in idiopathic inflammatory myopathy can occur and has been associated with anti-signal recognition particle and anti-polymyositis-scleroderma autoantibodies, but not with anti-MDA5 autoantibodies.

Case Presentation: A 14-year-old male presented with weakness, second-degree heart block, arthritis, and hematologic cytopenias. Read More

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Transient left bundle branch block after posture change to the prone position during general anesthesia: A case report.

Medicine (Baltimore) 2021 Mar;100(11):e25190

Department of Anesthesiology and Pain Medicine, Seoul Sacred Heart General Hospital, Seoul, South Korea.

Rationale: The prone position is commonly used in spinal surgery. There have been many studies on hemodynamic changes in the prone position during general anesthesia. We report a rare case of transient left bundle branch block (LBBB) in a prone position. Read More

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[Progressive cardiac tamponade and right ventricular free wall perforation as complications after dual-chamber pacemaker implantation - a case report].

Pol Merkur Lekarski 2021 Feb;49(289):54-56

Cardiac Surgery Department, J. Strus Municipal Hospital, Poznan, Poland; Department of Cardiovascular Diseases Prevention, Poznan University of Medical Sciences, Poland.

In recent years the number of complications related to implantation of cardiac stimulating systems is increasing. Life-threatening myocardial perforation leading to cardiac tamponade is one of the rarest complications. In that case it is necessary to take the immediate lifesaving procedures. Read More

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February 2021

A Case of Reversible Atrioventricular Block Potentially Associated with Atenolol-Induced Hyperkalemia.

Cureus 2021 Feb 5;13(2):e13151. Epub 2021 Feb 5.

Internal Medicine, Interfaith Medical Center, Brooklyn, USA.

Potassium is an extracellular ion that plays an important role in the electrophysiological function of the heart. Any change in the extracellular concentration of potassium can have a marked impression upon cardiac electrophysiology. Underlying kidney disease, certain medical conditions, dietary indiscretions, and medications can precipitate hyperkalemia. Read More

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February 2021

Complete heart block in cardiac sarcoidosis reversed by corticosteroid therapy: time course of resolution.

BMJ Case Rep 2021 Mar 9;14(3). Epub 2021 Mar 9.

Cardiovascular Disease, VCU Health, Richmond, Virginia, USA

A 53-year-old man was admitted for recurrent syncope and found to have complete heart block (CHB). Cardiac magnetic resonance imaging MRI) showed extensive patchy late gadolinium enhancement in the apical and lateral walls, consistent with cardiac sarcoidosis (CS) but no scar in the septum. A fluorodeoxyglucose (FDG)-positron emission tomography showed FDG uptake in the septum and basal lateral walls. Read More

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A Validated Smartphone-based Electrocardiogram Reveals Severe Bradyarrhythmias during Immobilizing Restraint in Mice of Both Sexes and Four Strains.

J Am Assoc Lab Anim Sci 2021 Mar 26;60(2):201-212. Epub 2021 Feb 26.

Center for Animal Resources and Education, Cornell University, College of Veterinary Medicine, Ithaca, New York.

Mouse handling and restraint affect behavior, physiology, and animal welfare, yet little information is available on how various mouse restraint methods affect cardiovascular parameters. We validated the use of a smartphone-based ECG sys- tem in mice by performing simultaneous smartphone and telemetry ECG recordings in conscious, restrained mice and in anesthetized mice. We observed that mice held in standard immobilizing restraint ("scruffing") experienced severe bradycardia. Read More

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Complete atrioventricular block and permanent pacemaker implantation following percutaneous coronary intervention to left anterior descending artery chronic total occlusion.

Cardiovasc Revasc Med 2021 Jan 23. Epub 2021 Jan 23.

Cardiology Department, AHEPA General Hospital, Aristotle University of Thessaloniki, Greece.

A 72-year-old male patient, with first degree atrioventricular block and LBBB on his baseline ECG, developed persistent complete atrioventricular block after recanalization of a chronic total occlusion of his left anterior descending artery (LAD) and ultimately underwent permanent pacemaker implantation. Occlusion of the second septal branch, probably supplying the right branch of the His bundle is speculated to have led to this complication. During elective intervention to the LAD territory in patients with prior conduction abnormalities on the ECG, care should be taken to preserve normal blood flow to the septal perforators. Read More

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January 2021

Strange case of biventricular heart failure.

BMJ Case Rep 2021 Jan 18;14(1). Epub 2021 Jan 18.

Department of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.

Acute heart failure (HF) is commonly caused by a cardiomyopathy with one or more precipitating factor. Here, a case in which a cardiomyopathy is precipitated by pulmonary embolism (PE). A 77-year-old man is admitted for breathlessness and leg swelling. Read More

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January 2021

Thrombocytopenia Preceding Urosepsis in an Otherwise Asymptomatic Patient After Bilateral Retrograde Intrarenal Surgery.

J Endourol Case Rep 2020 29;6(4):256-259. Epub 2020 Dec 29.

Department of Urology, University of California, Irvine, Orange, California, USA.

Urosepsis is commonly predicted by the systematic inflammatory response syndrome (SIRS) criteria. We report a case of urosepsis preceded only by thrombocytopenia. : An 80-year-old Caucasian female presented with recurrent urinary tract infections, type 1 second-degree heart block (Mobitz I), and chronic deep venous thrombosis for which she was taking apixaban. Read More

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December 2020

Cannabis induced cardiac arrhythmias: a case series.

Eur Heart J Case Rep 2020 Dec 12;4(6):1-9. Epub 2020 Dec 12.

Cardiology Division, Assuta Ashdod University Hospital, Ha-Refua St 7, Ashdod 7747629, Israel.

Introduction: Cannabis use is known to be associated with significant cardiovascular morbidity. We describe three cases of cannabis-related malignant arrhythmias, who presented to the cardiac department at our institution within the last 2 years. All three patients were known to smoke cannabis on daily basis. Read More

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December 2020

A case report of a rare cardiac complication in novel coronavirus disease.

Eur Heart J Case Rep 2020 Dec 14;4(6):1-4. Epub 2020 Nov 14.

Cardiovascular Research Center, Mazandaran University of Medical Science, Farah Abad Road, Sari, Mazandaran Province, Iran.

Background: Since late 2019, the outbreak of COVID-19 has rapidly spread worldwide. As it is a newly emerged disease, many of its manifestations and complications are unknown to us. Cardiac involvement and arrhythmias are another aspect of the disease about which very little is known. Read More

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December 2020

High-risk atrioventricular block in Brugada syndrome patients with a history of syncope.

J Cardiovasc Electrophysiol 2021 Mar 19;32(3):772-781. Epub 2021 Jan 19.

Department of Cardiovascular Medicine, Division of Arrhythmia and Electrophysiology, National Cerebral and Cardiovascular Center, Osaka, Japan.

Background: Determining the etiology of syncope is challenging in Brugada syndrome (BrS) patients. Implantable cardioverter defibrillator placement is recommended in BrS patients who are presumed to have arrhythmic syncope. However, arrhythmic syncope in BrS patients can occur in the setting of atrioventricular block (AVB), which should be managed by cardiac pacing. Read More

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Timed RR-interval Scatter Plots and Reverse Technology.

Jin-Tao Xiang

Curr Med Sci 2020 Dec 11;40(6):1191-1202. Epub 2021 Jan 11.

Department of Cardiology, Remin Hospital, Wuhan University, Wuhan, 430060, China.

Lorenz-RR scatter plot has an obvious shortcoming in that it does not indicate the time when the scatter point happens. On the Lorenz RR scatter plot, one cannot know the time during which the cardiac rhythms take place. Since occurrence of cardiac rhythms is time-related, time should be introduced to such plots. Read More

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December 2020

Mechanisms, features, and significance of diastolic mitral regurgitation: a case series.

Eur Heart J Case Rep 2020 Oct 19;4(5):1-8. Epub 2020 Sep 19.

Department of Echocardiography, Zhongshan Hospital, Shanghai Institute of Cardiovascular Diseases, Shanghai Institute of Medical Imaging, Fudan University, 180 Fenglin Road, Shanghai 200032, China.

Background: Diastolic mitral regurgitation (DMR) is a type of functional mitral regurgitation. Its occurrence in the diastolic phase of cardiac cycle renders DMR an easily ignored entity. Confusing it with systolic mitral regurgitation occasionally happens. Read More

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October 2020

Capability of emergency nurses for electrocardiogram interpretation.

Int Emerg Nurs 2021 Jan 24;54:100953. Epub 2020 Dec 24.

Advanced Practice Nurse, Department of Accident and Emergency, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong. Electronic address:

Introduction: Electrocardiogram is the first-line diagnostic imaging modality for evaluating patients with chest pain. The present study aimed to determine the capability of emergency nurses for electrocardiogram interpretation by using a more appropriate questioning method.

Methods: This was a cross-sectional descriptive survey. Read More

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January 2021

Exacerbation of atrioventricular block associated with concomitant use of amlodipine and aprepitant in a lung cancer patient: A case report.

Int J Clin Pharmacol Ther 2021 Apr;59(4):328-332

Objective: To report a case of second-degree atrioventricular block associated with concomitant use of aprepitant and amlodipine.

Case: A 73-year-old man with lung cancer was treated with aprepitant for prophylactic use for the prevention of nausea and vomiting, concomitantly with cisplatin, gemcitabine, and an investigational drug (anti-epidermal growth factor receptor monoclonal antibody). He was diagnosed with first-degree atrioventricular block and was taking amlodipine for hypertension. Read More

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Dengue disease in a pediatric patient with severe idiopathic pulmonary hypertension.

Cardiol Young 2021 Apr 14;31(4):654-657. Epub 2020 Dec 14.

Fellow of Pediatrics, Universidad Nacional de Colombia, Bogota, Colombia.

Dengue virus can affect the heart, with complications as bradycardia, arrhythmias, and death. We present a case of a 15-year-old patient, diagnosed 4 years before with severe idiopathic pulmonary hypertension, confirmed by catheterism, with continuous follow up. At that time, she was living in Bogotá (2640 m above sea level). Read More

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Electroanatomic Mapping and Intracardiac Echocardiography-Guided Approach for Left-Bundle Branch Area Pacing With Zero Fluoroscopy.

CJC Open 2020 Nov 9;2(6):705-707. Epub 2020 Jul 9.

Arrhythmia Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.

An 81-year-old man with second-degree atrioventricular block was admitted to our centre for pacemaker implantation. Electroanatomic mapping and intracardiac echocardiography-guided left-bundle branch area pacing was performed, entirely without fluoroscopy. It is the first report to describe intracardiac echocardiography for guiding sheath movements into the heart. Read More

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November 2020

Lithium-induced symptomatic second-degree heart block: A case report.

Asian J Psychiatr 2021 Jan 20;55:102486. Epub 2020 Nov 20.

Department of Mood and Anxiety, Institute of Mental Health, Singapore.

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January 2021

Immune-Mediated Fetal Complete Atrioventricular Block: Can Dexamethasone Therapy Revert the Process?

Isr Med Assoc J 2020 Nov;11(22):711-716

Department of Pediatric Cardiology, Hadassah Hebrew University Hospital, Jerusalem, Israel.

Background: Fetal complete atrioventricular block (CAVB) is usually autoimmune mediated. The risk of developing CAVB is 2% to 3% in anti-Ro/SS-A seropositive pregnancies and it increases 10 times after previous CAVB in siblings. Despite being a rare complication, CAVB carries a 20% mortality rate and substantial morbidity, as about 65% of newborns will eventually need life-long pacing. Read More

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November 2020

Right and left-sided infective endocarditis in an IV drug abuser.

J Community Hosp Intern Med Perspect 2020 Sep 3;10(5):475-479. Epub 2020 Sep 3.

Department of Internal Medicine, San Joaquin General Hospital, French Camp, CA, USA.

Infective endocarditis (IE) involving multiple cardiac valves is uncommon and has more risk of complications. We present an interesting case of infective endocarditis involving both aortic and tricuspid valves, suspected based on clinical presentation. He is a 54-year-old male with history of intravenous drug abuse (IVDA) who presented with exertional dyspnea, fevers/chills, fatigue, and temporarily vision loss. Read More

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September 2020

Interferons and innate immune activation in autoimmune congenital heart block.

Scand J Immunol 2021 Jan;93(1):e12995

Division of Rheumatology, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

Autoimmune congenital heart block (CHB) may develop in foetuses of women carrying anti-Ro/SSA and La/SSB autoantibodies and is characterized by disruption of signal conduction at the atrioventricular (AV) node, resulting in partial or complete AV block. If not fatal in utero, complete CHB typically requires lifelong cardiac pacing. No treatment has so far been unequivocally demonstrated to prevent or treat autoimmune CHB, and the relatively low incidence (1%-5%) and recurrence (12%-16%) rates of second/third-degree AV block add to the complexity of managing pregnancies in women with anti-Ro/La antibodies. Read More

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January 2021

Atrioventricular Block in Pregnancy: 15.8 Seconds of Asystole.

Cureus 2020 Sep 29;12(9):e10720. Epub 2020 Sep 29.

Obstetrics and Gynecology, Metropolitan Hospital, San Antonio, USA.

Atrioventricular (AV) block in pregnancy is infrequently encountered and there is little management guidance available. We present a case of a 24-year-old G3P1011 at 24 weeks' gestation who presented to the obstetrics and gynecology clinic complaining of palpitations, fatigue, and dyspnea on exertion. Cardiology workup including an electrocardiogram (ECG) and Holter monitor detected second-degree type II (Mobitz) AV block with the longest asystole event lasting 15. Read More

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September 2020

Pectus excavatum requiring temporary pacemaker implantation before Nuss procedure: a case report.

J Thorac Dis 2020 Sep;12(9):4985-4990

Department of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, China.

Pectus excavatum is the most common chest wall deformity, and some patients also have it combined with cardiac arrhythmias. It is a rare occurrence for there to be a severe conduction block that requires a temporary pacemaker implantation before the surgical correction. Here we reported a case of pectus excavatum with a second-degree atrial-ventricular (AV) block (Mobitz II) who had temporary pacemaker implantation before the Nuss procedure. Read More

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September 2020