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: Profound bradycardia with rate of 32 bpm. Complete atrioventricular block. No acute ST changes. Case Photo #1 Exercise stress echocardiogram: Baseline ECG shows high grade AV block with heart rate of 40 BPM and variable R to R interval. Conduction improves to 1:1 during stage 1 of the Bruce protocol and throughout the stress test. No symptoms at rest or during stress. Negative stress echocardiogram for inducible myocardial ischemia. 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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