atrioventricular block

Abnormal cardiac conduction in a septic patient: incidental finding or cause for concern?

Picture Quiz - Answers, Volume 17, Issue 2, Pages 57 – 116 (2018)

The initial ECG (figure 1A) demonstrates a regularly irregular rhythm at approximately 80bpm. There is a profound first-degree atrioventricular(AV) block with a PR interval of over 400ms. There is monomorphic ventricular ectopy in a right bundle branch pattern. The baseline QRS complexes are narrow.

Abnormal cardiac conduction in a septic patient: incidental finding or cause for concern? Read More

Abnormal cardiac conduction in a septic patient: incidental finding or cause for concern?

Picture Quiz, Volume 17, Issue 2, Pages 57 – 116 (2018)

A 64-year-old male presents to the emergency department in acute respiratory distress. He gives a limited history of progressive shortness of breath of one week’s duration and several episodes of sudden unexplained syncope. There was no history of chest pain, palpitations or localising symptoms of infection. He takes no regular medications.

Abnormal cardiac conduction in a septic patient: incidental finding or cause for concern? Read More

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