Out Of Rhythm: Unexpected Electrocardiogram Findings In A Healthy Elite Athlete

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Out Of Rhythm: Unexpected Electrocardiogram Findings In A Healthy Elite Athlete - Page #3

Lab Studies: None Other Studies: Resting EKG: <br>Profound bradycardia with rate of 32 bpm. Complete atrioventricular block. No acute ST changes. <br> <br> <a href="CaseStudyImages/CS1OutofRhythmUnexpe-1406.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>Exercise stress echocardiogram: <br>Baseline ECG shows high grade AV block with heart rate of 40 BPM and variable R to R interval. <br>Conduction improves to 1:1 during stage 1 of the Bruce protocol and throughout the stress test. <br>No symptoms at rest or during stress. <br>Negative stress echocardiogram for inducible myocardial ischemia. <br>There is no evidence of inducible focal segmental abnormalities. Consultations: Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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