Complete heart block with no AV dissociation

AV with slow ventricular response. The rate is 40BPM. In the good old days this was digitalis toxicity until proven otherwise. The clue is Bifascicular block. Many cardiologists are reluctant to call this complete heart block as there is no AV dissociation.Don’t be scared to call this complete heart block because that is what it is!!

Wenckebach without a pause!

This week we had a Holter monitor recording reported as complete heart block. For obvious reasons this can be a serious diagnosis, but the reporting cardiologist felt it was Wenckebach sequences and requested a review.

The ECG Spectrum of Vagal Hypertonia

Vagal Hypertonia is a topic that is often confusing and misunderstood. And although we have touched on the topic briefly in the past, Dr Harry Mond delves a little deeper in a bid to clear up any confusion.