TY - JOUR T1 - Paroksismal Nodal Taşikardi ile Birlikte Tam A-V Kalb Bloku ve Diyafragmatik Peri-İnfarktüs Bloku TT - Paroksismal Nodal Taşikardi ile Birlikte Tam A-V Kalb Bloku ve Diyafragmatik Peri-İnfarktüs Bloku AU - Sargın, Orhan PY - 1964 DA - June JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 299 EP - 308 VL - 17 IS - 2 LA - en AB - This case details the electrocardiographic findings of a 65-year-old male patient from Niğde presenting with congestive heart failure and bradycardia. The initial ECG revealed paroxysmal nodal tachycardia, complete A-V block, diaphragmatic myocardial infarction, digitalis toxicity signs, and peri-infarction block. Following potassium and prednisone treatment, a second ECG showed sinus bradycardia, first-degree A-V block, and terminal vector changes consistent with diaphragmatic peri-infarction block. The article discusses the mechanisms of arrhythmia and conduction blocks, notably the rare occurrence of nodal tachycardia with A-V dissociation due to digitalis toxicity, emphasizing the importance of monitoring electrolytes and ECG in vulnerable patients. KW - Digitalis toxicity KW - nodal tachycardia KW - complete A-V block N2 - This case details the electrocardiographic findings of a 65-year-old male patient from Niğde presenting with congestive heart failure and bradycardia. The initial ECG revealed paroxysmal nodal tachycardia, complete A-V block, diaphragmatic myocardial infarction, digitalis toxicity signs, and peri-infarction block. Following potassium and prednisone treatment, a second ECG showed sinus bradycardia, first-degree A-V block, and terminal vector changes consistent with diaphragmatic peri-infarction block. The article discusses the mechanisms of arrhythmia and conduction blocks, notably the rare occurrence of nodal tachycardia with A-V dissociation due to digitalis toxicity, emphasizing the importance of monitoring electrolytes and ECG in vulnerable patients. CR - 1 - Bellet, S. : Clinical Disorders of the Heart Beat, 1963. CR - 2 - Wilson, F.N. : AV Rhythm in Man after Atropine, Arch. Int. Med. 1915. CR - 3 - Dreifus et al. : Nodal Tachycardia: Etiology & Therapy, Am. Heart Assoc. 1960. CR - 4 - Hamilton, W.F. : Handbook of Physiology, Circulation, 1963. CR - 5 - Grant, R.P. : Clinical Electrocardiography, McGraw-Hill, 1957. CR - 6 - Collen, W. : Septal Infarction & PIB, Am. College of Cardiology, 1964. UR - https://dergipark.org.tr/en/pub/autfm/issue//1751032 L1 - https://dergipark.org.tr/en/download/article-file/5091047 ER -