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. 2020 Aug 2;36(5):950-951.
doi: 10.1002/joa3.12417. eCollection 2020 Oct.

A case of paroxysmal atrioventricular block with atrial pacemaker shift during ventricular arrest

Kai Ishii  1 , Masataka Sumiyoshi  2 , Hidemori Hayashi  1 , Yuji Nakazato  3
Affiliations

A case of paroxysmal atrioventricular block with atrial pacemaker shift during ventricular arrest

Kai Ishii et al. J Arrhythm. .

Abstract

We present a case of paroxysmal atrioventricular block with atrial pacemaker shift, focusing on the change of P-wave morphology.

Keywords: P‐wave morphology; atrial pacemaker shift; paroxysmal atrioventricular block; ventricular arrest.

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Conflict of interest statement

The authors have no conflict of interest to disclose.

Figures

FIGURE 1
FIGURE 1
(A) Complete atrioventricular block (AVB) with a junctional escape rhythm of 40 bpm with P‐P intervals between 720 and 780 msec. Sharp P‐waves in leads II, III, and aVF were observed. (B) During 1:1 AV conduction (a presumed sinus rhythm), the P‐P intervals were between 960 and 1000 msec with dull P‐waves in leads II, III, and aVF
FIGURE 2
FIGURE 2
(A) The ECG monitoring at the syncopal episode on the second hospital day. (B) The P‐P intervals on the same ECG recording as that shown in panel A
See this image and copyright information in PMC

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