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Updated: Jan 26, 2026
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Complete atrioventricular block during exercise: New insights from an old test
Eduardo M Vilela1, Susana Torres, Helena Gonçalves
1Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre. eduardomvilela@gmail.com.
Summary
Exercise stress testing remains valuable for assessing cardiovascular disease, especially for detecting rhythm changes. Continuous electrocardiographic monitoring during exercise can identify conditions like complete atrioventricular block.
Area of Science:
- Cardiology
- Clinical Electrophysiology
Background:
- Exercise stress testing is a key tool for cardiovascular disease assessment.
- While imaging improves coronary artery disease detection, ECG monitoring offers unique insights.
- Physiological changes during exercise, including rhythm and chronotropic responses, are crucial.
Observation:
- A case of complete atrioventricular block during exercise is presented.
- This highlights the importance of continuous electrocardiographic monitoring.
Findings:
- Exercise stress testing with ECG monitoring can reveal exercise-induced arrhythmias.
- Complete atrioventricular block during exercise is a significant finding.
Implications:
- Continuous electrocardiographic monitoring during exercise stress testing retains clinical relevance.
- This method aids in diagnosing and managing specific cardiovascular conditions like heart block.
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