AI Article Synopsis
- First-degree atrioventricular (AV) block is often found in athletes during ECG screenings, especially when the PR interval exceeds 200 ms.
- Profound first-degree AV block (PR interval >400 ms) and Mobitz type I (Wenckebach) second-degree AV block are rarer and may need individual assessments, especially if there's concern about heart structure.
- In one case, an asymptomatic athlete with profound first-degree AV block and Mobitz type I was cleared for sports after normal echocardiograms, highlighting the importance for physicians to recognize when further evaluation is necessary.
Article Abstract
First-degree atrioventricular (AV) block (PR interval >200 ms) is commonly observed among screening electrocardiogram (ECG) in athletes. Profound first-degree AV block (PR interval >400 ms) and Mobitz type I (Wenckebach) second-degree AV block are generally uncommon and often require further workup on a case-by-case basis, particularly when there is concern for a structural cardiac abnormality. In this case, we present an example of an asymptomatic profound first-degree AV block with Mobitz type I (Wenckebach) second-degree AV block. Transthoracic echocardiogram and stress echocardiogram were unremarkable and the patient was cleared to participate in sports without any restriction. Physicians managing athletes should be aware of ECG features that require additional evaluation and cardiology consultation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531002 | PMC |
| http://dx.doi.org/10.1177/19417381231210297 | DOI Listing |
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Article Synopsis
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