Stepwise transition of 2:1 atrio-ventricular block to 1:1 conduction induced by ventricular premature beats in a patient with atypical AVNRT

Pacing Clin Electrophysiol. 2010 Feb;33(2):e20-3. doi: 10.1111/j.1540-8159.2009.02584.x. Epub 2009 Oct 10.

Abstract

A 55-year-old man with a 2-year history of recurrent paroxysmal palpitations and with an electrocardiogram documentation of atypical atrioventricular nodal re-entrant tachycardia (AVNRT) was referred to us for catheter ablation. After an initial ablation attempt, several episodes of atypical AVNRT were induced. During one of these episodes, we documented a stepwise transition of 2:1 atrioventricular block to 1:1 conduction, following two single ventricular premature beats. This phenomenon confirmed the functional nature of the AV block during AVNRT and indirectly its infra-nodal location.

Publication types

  • Case Reports

MeSH terms

  • Atrioventricular Block / surgery*
  • Catheter Ablation*
  • Heart Conduction System / physiopathology
  • Heart Conduction System / surgery
  • Humans
  • Male
  • Middle Aged
  • Tachycardia, Atrioventricular Nodal Reentry / surgery*
  • Treatment Outcome
  • Ventricular Premature Complexes / surgery*