Advertisement

Intermittent High-Grade Atrioventricular Block in a Man With Infective Endocarditis

      A 43-year-old man with a prosthetic aortic valve used illicit drugs intravenously and came to the hospital with infective endocarditis. Several days later, pauses were noted on his electrocardiographic monitoring strips (Figure 1).
      Figure thumbnail gr1
      Figure 1Electrocardiographic rhythm strips in a 43-year-old man with a prosthetic aortic valve and infective endocarditis. The first 2 strips are continuous, as are the last 2 strips. See text for explication.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Wang K.
        • Gabel F.
        • Gleason D.F.
        • Edwards J.E.
        Complete heart block complicating bacterial endocarditis.
        Circulation. 1972; 45: 939-947
        • Dinuble M.J.
        Heart block during bacterial endocarditis. A review of the literature and guidelines for surgical intervention.
        Am J Med Sci. 1984; 287: 30-32
        • Dinuble M.J.
        • Calderwood S.B.
        • Steinhaus D.M.
        • Karchmer A.W.
        Cardiac conductioin abnormalities complicating native valve active infective endocarditis.
        Am J Cardiol. 1986; 58: 1213-1217