Exercise induced atrioventricular block with gap phenomenon in atrioventricular conduction

Pacing Clin Electrophysiol. 2000 Apr;23(4 Pt 1):527-9. doi: 10.1111/j.1540-8159.2000.tb00840.x.

Abstract

A 54-year-old man with normal atrioventricular (AV) conduction at rest gave a 4-year history of presyncope during exercise. Treadmill testing showed exercise induced AV block. Electrophysiological study demonstrated rate dependent infranodal AV block and abnormal refractory period of the His-Purkinje system. The gap phenomenon in AV conduction occurred during the programmed stimulation. Supernormal conduction could be considered as the mechanism of the gap phenomenon in this patient.

Publication types

  • Case Reports

MeSH terms

  • Atrioventricular Node / physiopathology*
  • Bundle of His / physiopathology
  • Cardiac Pacing, Artificial
  • Electrocardiography*
  • Exercise Test / adverse effects*
  • Heart Block / etiology*
  • Heart Block / physiopathology
  • Heart Block / therapy
  • Heart Rate / physiology
  • Humans
  • Male
  • Middle Aged