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Sudden unexpected improvement in the atrioventricular conduction. What is the mechanism?

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The 12-lead electrocardiogram (ECG) of a 79-year-old male patient with recurrent pre-syncope showed irregular sinus rhythm with constant PR interval and left bundle branch block (LBBB) with intermittently blocked P… Click to show full abstract

The 12-lead electrocardiogram (ECG) of a 79-year-old male patient with recurrent pre-syncope showed irregular sinus rhythm with constant PR interval and left bundle branch block (LBBB) with intermittently blocked P waves. The beat following the blocked P wave had a narrower QRS with a shorter PR interval. The phenomenon of bilateral bundle branch block explains the sudden improvement in the atrioventricular conduction.

Keywords: sudden unexpected; unexpected improvement; improvement atrioventricular; atrioventricular conduction

Journal Title: Indian Pacing and Electrophysiology Journal
Year Published: 2021

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