First Degree AV Block on Carbamazepine
Report:
Sinus rhythm 66/min
First degree AV block
PR interval 0.48”
Normal QRS-T morphology
Comment :
The patient had hydrocephalus from Dandy Walker abnormality requiring ventriculo-peritoneal shunting and severe epilepsy requiring several drugs, including carbamazepine (Tegretol). The latter is a known cause of AV block89,90, but one cannot be certain that it was responsible in this case.
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