The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart Blocks

Idiopathic third-degree atrioventricular (AV) block in a relatively young patient is an uncommon phenomenon. Even more rare is when the third-degree heart block is alternating with the first- and second-degree AV blocks. In this case, we present a 39-year-old man with varying degrees of AV block, al...

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Main Authors: Nicholas Huerta, Salman Malik, Christopher Haas
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2023/8664315
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author Nicholas Huerta
Salman Malik
Christopher Haas
author_facet Nicholas Huerta
Salman Malik
Christopher Haas
author_sort Nicholas Huerta
collection DOAJ
description Idiopathic third-degree atrioventricular (AV) block in a relatively young patient is an uncommon phenomenon. Even more rare is when the third-degree heart block is alternating with the first- and second-degree AV blocks. In this case, we present a 39-year-old man with varying degrees of AV block, alternating the third-degree, second-degree, and first-degree AV blocks. The patient underwent an extensive workup for underlying etiologies, and results were inconclusive. A pacemaker was implanted and set for physiologic pacing via left bundle branch area pacing (LBBAP). This case will discuss potential genetic abnormalities associated with AV block and highlight LBBAP as an emerging technique for physiologic pacing.
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spelling doaj.art-10b122eccf3146749028bf1e8f33f7212023-06-22T00:00:03ZengHindawi LimitedCase Reports in Cardiology2090-64122023-01-01202310.1155/2023/8664315The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart BlocksNicholas Huerta0Salman Malik1Christopher Haas2MedStar Health Internal Medicine Residency ProgramMedStar HealthMedStar Health Internal Medicine Residency ProgramIdiopathic third-degree atrioventricular (AV) block in a relatively young patient is an uncommon phenomenon. Even more rare is when the third-degree heart block is alternating with the first- and second-degree AV blocks. In this case, we present a 39-year-old man with varying degrees of AV block, alternating the third-degree, second-degree, and first-degree AV blocks. The patient underwent an extensive workup for underlying etiologies, and results were inconclusive. A pacemaker was implanted and set for physiologic pacing via left bundle branch area pacing (LBBAP). This case will discuss potential genetic abnormalities associated with AV block and highlight LBBAP as an emerging technique for physiologic pacing.http://dx.doi.org/10.1155/2023/8664315
spellingShingle Nicholas Huerta
Salman Malik
Christopher Haas
The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart Blocks
Case Reports in Cardiology
title The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart Blocks
title_full The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart Blocks
title_fullStr The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart Blocks
title_full_unstemmed The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart Blocks
title_short The Heart Block Hat-Trick: A Case of Alternating First-, Second-, and Third-Degree Heart Blocks
title_sort heart block hat trick a case of alternating first second and third degree heart blocks
url http://dx.doi.org/10.1155/2023/8664315
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