Exercise-induced Atrioventricular Block with Coronary Artery Stenosis that Appeared Five Years after Bypass Surgery

Shinya Yamazaki1, Taku Kato1, Shunpei Ushimaru1

  • 1Department of Cardiology, Rakuwakai Otowa Hospital, Japan.

Insights

Exercise-induced atrioventricular block is a rare condition that can mimic ischemic heart disease. Prompt diagnosis and stenting resolved symptoms in a patient with coronary artery disease history.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Interventional Cardiology

Background:

  • Coronary artery bypass surgery history
  • Pre-syncope on effort
  • Exercise electrocardiogram test

Observation:

  • Advanced atrioventricular block during exercise test
  • Associated dizziness
  • Significant right coronary artery stenosis

Findings:

  • Stenosis not present during prior bypass surgery
  • Successful drug-eluting stent implantation
  • Resolution of atrioventricular block post-intervention

Implications:

  • Exercise-induced atrioventricular block is rare
  • Distinguish from ischemic heart disease
  • Crucial in patients with coronary artery disease history

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