[Second-degree atrioventricular block in a patient with coexistant intermittent preexcitation syndrome that masks the electrocardiographic features of past myocardial infarction - diagnostic difficulties and management].
We describe a case of a 60 year-old man after inferior wall myocardial infarction with intermittent preexcitation syndrome. In ECG, the pathologic Q waves in the inferior leads were masked by the intermittent preexcitation. In this patient, paroxysmal asymptomatic second-degree atrioventicular block coexists with inconstant atrioventricular conduction maintained by the accessory pathway, periodically 2:1.
Sanecka
Agnieszka
A
Klinika Rehabilitacji Kardiologicznej i Elektrokardiologii Nieinwazyjnej, Instytut Kardiologii, Warszawa. asanecka@ikard.pl
Derejko
Paweł
P
Baranowski
Rafał
R
D054537:Atrioventricular Block / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis*; D011226:Pre-Excitation Syndromes / Q000150:complications / Q000175:diagnosis*