AV Block in Inferior Infarction
Report:
Top:
Sinus rhythm
VEB
Third degree AV block
Junctional escape rhythm 42/min
Second strip:
Sinus tachycardia 104/min
Second degree AV block, 2:1 conduction
First degree AV block in conducted beats (PR 0.44”)
Third strip:
Sinus tachycardia 118/min
Second degree AV block, Möbitz 1, 3:2 conduction (bigeminy)
Bottom:
Sinus rhythm
First degree AV block (PR 0.28”)
Comment:
The sequence of events and the type of block are typical of inferior infarction, usually caused by right or left circumflex artery occlusion. The presence of AV block, however, indicates additional left anterior descending artery disease48.
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