AI Article Synopsis
- A 60-year-old man experienced a myocardial infarction affecting the inferior wall of his heart, along with intermittent preexcitation syndrome.
- In his ECG results, the abnormal Q waves typically seen in inferior leads were difficult to detect due to the effects of the intermittent preexcitation.
- The patient also exhibited paroxysmal (random and sudden) asymptomatic second-degree atrioventricular block, coupled with inconsistent atrioventricular conduction that was supported by an accessory pathway, sometimes leading to a 2:1 ratio of conduction.
Article Abstract
We describe a case of a 60 year-old man after inferior wall myocardial infarction with intermittent preexcitation syndrome. In ECG, the pathologic Q waves in the inferior leads were masked by the intermittent preexcitation. In this patient, paroxysmal asymptomatic second-degree atrioventicular block coexists with inconstant atrioventricular conduction maintained by the accessory pathway, periodically 2:1.
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