Everything That Wenckebachs Is Not the AV Node

Abstract

A patient in their 70s with a medical history of type 2 diabetes and hypertension presented to the emergency department with fatigue, light-headedness, and dyspnea on exertion during the previous week. On physical examination, the patient was alert and in no acute distress with a heart rate of 47 beats per minute and blood pressure of 148/59 mm Hg. The 12-lead electrocardiogram (ECG) is shown in Figure, A. Identify all potential conflicts of interest that might be relevant to your comment. Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. Err on the side of full disclosure. If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response. Not all submitted comments are published. Please see our commenting policy for details.