Complete atrioventricular block during exercise: New insights from an old test

https://doi.org/10.4081/monaldi.2019.1002

Authors

  • Eduardo M. Vilela | eduardomvilela@gmail.com Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Portugal.
  • Susana Torres Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Portugal.
  • Helena Gonçalves Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Portugal.
  • João Primo Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Portugal.
  • Madalena Teixeira Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Portugal.
  • Pedro Braga Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Portugal.

Abstract

Exercise stress testing can have a central role in the assessment of cardiovascular disease. Contemporary data, however, has highlighted the added value of imaging modalities over the exercise electrocardiogram in the investigation of coronary artery disease. Given the physiological changes associated with exercise and the possibility to address other parameters such as rhythm changes and the chronotropic response, exercise stress testing with continuous electrocardiographic monitoring can still have an important place in contemporary clinical practice. We report the case of a complete atrioventricular block associated with exercise and discuss the current role of exercise stress testing with continuous electrocardiographic monitoring in this entity.


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Published
2019-01-29
Info
Issue
Section
Cardiology - Case Reports
Keywords:
Complete heart block, exercise stress test, syncope
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  • PDF: 440
How to Cite
Vilela, Eduardo M., Susana Torres, Helena Gonçalves, João Primo, Madalena Teixeira, and Pedro Braga. 2019. “Complete Atrioventricular Block During Exercise: New Insights from an Old Test”. Monaldi Archives for Chest Disease 89 (1). https://doi.org/10.4081/monaldi.2019.1002.