Paroxysmal Heart Block on Exertion

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Paroxysmal Heart Block in Bundle Branch Block.

When a patient is suspected of having Stokes-Adams disease the electrocardiogram is of critical importance, particularly in respect of the auriculo-ventricular (A-V) conduction time. Should this not be prolonged, the possibility of paroxysmal heart block remains, although the diagnosis of Stokes-Adams disease is uncertain without some degree of heart block recorded graphically. It is not known ...

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Paroxysmal Heart Block and Ventricular Standstill.

In auriculo-ventricular block the degree of impairment of conductivity is often found to be inconstant. Even at a time when the rhythm appears clinically to be normal, however, a cardiogram will usually show prolongation of the P-R interval. Only rarely is the conduction normal between the attacks, and the term " paroxysmal heart block " may then appropriately be applied. Reports of 18 such cas...

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Paroxysmal nodal tachycardia is not uncommon, and may be divided into three types, in which the rhythm arises in the upper, middle, or lower part of the A-V node. Low nodal tachycardia, which is characterized by an inverted P wave following the R wave at a constant interval, was found in 18 out of 253, and 8 out of 42 cases of paroxysmal tachycardia analysed by the electrocardiograph in the ser...

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Syncope and paroxysmal atrioventricular block

Current literature reveals three types of paroxysmal atrioventricular block (AVB) that can cause syncope: Intrinsic paroxysmal atrioventricular block is due to an intrinsic disease of the AV conduction system; this type of "cardiac syncope" is also called Stokes-Adams attack; Extrinsic vagal paroxysmal atrioventricular block is linked to the effect of the parasympathetic nervous system on cardi...

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ژورنال

عنوان ژورنال: BMJ

سال: 1964

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.1.5394.1359