Pitfalls in electrocardiographic interpretation in patients with ventricular arrhythmias
- Authors: Treshkur T.V.1, Zhabina E.S.2, Stepanov D.A.2
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Affiliations:
- Национальный медицинский исследовательский центр им. В.А. Алмазова Минздрава России
- V.A. Almazov National Medical Research Center, Ministry of Health of Russia
- Issue: Vol 36, No 11 (2025)
- Pages: 101-105
- Section: From Practice
- URL: https://journal-vniispk.ru/0236-3054/article/view/362953
- DOI: https://doi.org/10.29296/25877305-2025-11-18
- ID: 362953
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Abstract
A clinical case is presented describing the development of episodes of second-degree pseudoatrioventricular block type II following ventricular ectopic complexes in a 47-year-old patient. A competent interpretation of electrophysiological phenomena guided the appropriate patient management strategy, avoiding unnecessary permanent pacemaker implantation. The paper emphasizes the need for careful differentiation of rare electrocardiographic phenomena that may present diagnostic challenges.
About the authors
T. V. Treshkur
Национальный медицинский исследовательский центр им. В.А. Алмазова Минздрава России
Author for correspondence.
Email: zhabina_es@almazovcentre.ru
ORCID iD: 0000-0002-7976-5588
SPIN-code: 4029-8204
Associate Professor, Candidate of Medical Sciences
Russian Federation, Санкт-ПетербургE. S. Zhabina
V.A. Almazov National Medical Research Center, Ministry of Health of Russia
Email: zhabina_es@almazovcentre.ru
ORCID iD: 0000-0002-9001-8743
SPIN-code: 5964-5382
Candidate of Medical Sciences
Russian Federation, Saint PetersburgD. A. Stepanov
V.A. Almazov National Medical Research Center, Ministry of Health of Russia
Email: zhabina_es@almazovcentre.ru
ORCID iD: 0000-0001-7032-8800
SPIN-code: 9013-5135
Russian Federation, Saint Petersburg
References
- Кушаковский М.С., Гришкин Ю.Н. Аритмии сердца (Расстройства сердечного ритма и нарушения проводимости. Причины, механизмы, электрокардиографическая и электрофизиологическая диагностика, клиника, лечение). Руководство для врачей. 4-е изд., испр. и доп. Под ред. Кушаковского М.С., Гришкина Ю.Н. СПб, 2014; с. 169–71 [Kushakovskii M.S., Grishkin Yu.N. Cardiac arrhythmias (Cardiac rhythm and conduction disorders: causes, mechanisms, electrocardiographic and electrophysiological diagnosis, clinical presentation, and treatment). A physician’s guide. 4th ed., rev. and exp. Ed. Kushakovskii M.S., Grishkin Yu.N. Saint Petersburg, 2014; pp. 169–71 (in Russ.)].
- Трешкур Т.В. Атриовентрикулярные блокады: этиология, клиника, диагностика, лечение: Учебное пособие. 2-е изд. Под ред. Трешкур Т.В., Бернгардт Е.Р., Тихоненко В.М. М., 2018; с. 98–9 [Treshkur T.V. Atrioventricular blocks: etiology, clinical presentation, diagnosis, and treatment: A study guide. 2nd ed. Ed. Treshkur T.V., Berngardt E.R., Tikhonenko V.M. Moscow, 2018; pp. 98–9 (in Russ.)].
- Hollanda L., Sobral R., Luize C. et al. Pseudo atrioventricular block most likely caused by junctional extrasystoles mimicking Mobitz II second degree atrioventricular block: A case report. Heart Rhythm Case Rep. 2020; 6 (8): 507–10. doi: 10.1016/j.hrcr.2020.05.002
- Othman M., Konok M., Engku Ismail E. et al. Managing a Pseudo-Mobitz Type II Atrioventricular (AV) Block Intrapartum: A Case Report. Cureus. 2023; 15 (12): e50221. doi: 10.7759/cureus.50221
- Josephson M. E. Miscellaneous phenomena related to atrioventricular conduction. In: Clinical cardiac electrophysiology. Techniques and interpretations. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002; pp. 140–57.
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