Prolonged Ventricular Pauses in an Asymptomatic Athlete with %26quot;Apparent Mobitz Type II Second-Degree Atrioventricular Block%26quot;

作者：Rotondi Francesco^*; Marino Luciano; Lanzillo Tonino; Manganelli Fiore; Zeppilli Paolo

来源：Pacing and Clinical Electrophysiology, 2012, 35(7): E210-E213.

DOI：10.1111/j.1540-8159.2010.03010.x

• electrocardiogram
• imaging
• pacing

We report the case of a 30-year-old basketball player with asymptomatic, nocturnal ventricular pauses of %26gt;3,000 ms, the longest being similar to 12,000 ms, who was misdiagnosed with Mobitz type II second-degree atrioventricular (AV) block. Conversely, the tracings were characteristic of a vagally mediated AV block, a phenomenon first described by Massie and called apparent Mobitz type II AV block. Although the patient was asymptomatic with ventricular pauses occurring only at night, it was decided to implant a permanent pacemaker to prevent neurological damage or life-threatening ventricular arrhythmias resulting from repeated, abnormally prolonged ventricular pauses. The persistence of AV block after a 3-month detraining period led us to believe that our decision was reasonable. (PACE 2011; 14)

• 出版日期2012-7