[A patient with second-degree AV block-further work-up and treatment]

Daniel Steven1, Sebastian Dittrich2, Arian Sultan2

  • 1Abteilung für Elektrophysiologie, Herzzentrum der Uniklinik Köln, Kerpenerstraße 62, 59037, Köln, Deutschland. daniel.steven@uk-koeln.de.

Insights

A 64-year-old man experienced palpitations and presyncope despite pacemaker implantation for heart block. Unsuccessful pharmacological treatments prompted further electrophysiological evaluation for suspected tachycardia.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • A 64-year-old male patient presented with intermittent palpitations and presyncope.
  • He had a history of dual chamber pacemaker implantation in 2009 for second-degree heart block.
  • Previous pharmacological treatments, including beta-blockers, calcium channel antagonists, and ivabradine, were unsuccessful.

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