2:1 electronic AV block due to inappropriate automatic post‐ventricular atrial refractory period extension

Pasquale Crea, Paolo Bellocchi, Federica Cocuzza, Antonino Micari, Lilia Oreto
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Abstract

A 16‐year‐old female with dual‐chamber pacemaker (Medtronic Azure XT DR), due to symptomatic third‐degree congenital atrioventricular (AV) block, presented to our ambulatory with dizziness and presyncopal episodes preceded by prodromes, occurring over the last few months. The device was programmed in DDD mode with an upper rate of 150 bpm. A head‐up Tilt Test (HUTT) revealed the unexpected emergence of 2:1 electronic AV block at a sinus rate of 130 bpm.
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不适当地自动延长心室后心房折返期导致 2:1 电子房室传导阻滞
一名 16 岁的女性因症状性三度先天性房室传导阻滞而安装了双腔起搏器(美敦力 Azure XT DR),在过去几个月中因头晕和前驱症状发作而到我院门诊就诊。设备编程为 DDD 模式,最高心率为 150 bpm。抬头倾斜试验(HUTT)显示,在窦性心率为 130 bpm 时,意外出现了 2:1 电子房室传导阻滞。
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