This post is an answer to the ECG Case 313
- Complete heart block
- AV Dissociation with ventricular escape rhythm, rate 24 bpm
- Atrial rate ~115 bpm
What happened next ?
The patient was treated with atropine followed by isoprenaline infusion. The next day he underwent an uneventful dual chamber PPM insertion.
A subsequent echo was normal with an ejection fraction of 64%. On review of his medical records prior ECG’s had shown alternating left and right bundle branch blocks confirming progressive conducting system disease.
READ MORE: Conduction Blocks at the AV Node (AV Blocks) [With Examples]
SIMILAR CASES:
