Abstract
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.
References
- 1 - Bellet, S. : Clinical Disorders of the Heart Beat, 1963.
- 2 - Wilson, F.N. : AV Rhythm in Man after Atropine, Arch. Int. Med. 1915.
- 3 - Dreifus et al. : Nodal Tachycardia: Etiology & Therapy, Am. Heart Assoc. 1960.
- 4 - Hamilton, W.F. : Handbook of Physiology, Circulation, 1963.
- 5 - Grant, R.P. : Clinical Electrocardiography, McGraw-Hill, 1957.
- 6 - Collen, W. : Septal Infarction & PIB, Am. College of Cardiology, 1964.
Abstract
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.
References
- 1 - Bellet, S. : Clinical Disorders of the Heart Beat, 1963.
- 2 - Wilson, F.N. : AV Rhythm in Man after Atropine, Arch. Int. Med. 1915.
- 3 - Dreifus et al. : Nodal Tachycardia: Etiology & Therapy, Am. Heart Assoc. 1960.
- 4 - Hamilton, W.F. : Handbook of Physiology, Circulation, 1963.
- 5 - Grant, R.P. : Clinical Electrocardiography, McGraw-Hill, 1957.
- 6 - Collen, W. : Septal Infarction & PIB, Am. College of Cardiology, 1964.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Articles |
| Authors | |
| Publication Date | June 30, 1964 |
| Published in Issue | Year 1964 Volume: 17 Issue: 2 |