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Location and clinical implications of high-degree atrioventricular block during dipyridamole infusion: a case report
Mazen Alakhras1, Duccio Baldari, Nabil El-Sherif
1SUNY-Downstate Medical Center, 450 Clarkson Avenue, Box 1199, Brooklyn, NY 11203, USA.
Abstract:
We describe a patient with bifascicular block, who developed transient high-degree atrioventricular block during dipyridamole infusion. This patient was subsequently found to have significant His-Purkinje disease at electrophysiology study, and underwent permanent pacemaker implantation. Spontaneous atrioventricular block was documented during follow-up. This case report raises the issue of dipyridamole safety in patients with intraventricular conduction defects, and contributes an additional mechanism to the possible explanation of dipyridamole-induced atrioventricular block.
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