title: [Third degree atrioventricular block treated without pacemaker].
abstract: A 53-year-old male was admitted due to an asymptomatic third degree atrioventricular (AV) block of proximal type (QRS duration below 0,12 sec.). With telemetry a normal heart rate was observed and a stress test showed a maximum heart rate of 101% of the expected. Blood samples and stress echo-cardiography showed normal values. Permanent pacemaker (PM) placement was rejected and the patient was followed in the outpatient clinic. PM implantation carries a risk of complications but without it the condition can progress. Treatment of asymptomatic third degree AV-block is debated and not entirely clear.
authors.affiliation: Sommerstedsgade 5, 1718 København V. tobiasbomholt@gmail.com.
authors.forename: Tobias
authors.initials: T
authors.lastname: Bomholt
authors.forename: Christian
authors.initials: C
authors.lastname: Lange
mesh_terms: D054537:Atrioventricular Block / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018670:Monitoring, Ambulatory