Exercise-induced distal atrioventricular block
Open accessAbstract
Three patients with 1:1 atrioventricular (AV) conduction at rest developed fixed 2:1 or 3:1 AV block during treadmill exercise testing. Electrophysiologic study documented block distal to the AV node in all three patients, and suggested that the exercise-induced block occurred because of increased atrial rate and abnormal refractoriness of the His-Purkinje conduction system. The findings in these three patients suggest that high grade AV block appearing during exercise reflects conduction disease of the His-Purkinje system rather than of the AV node, even in the absence of bundle branch block. Patients with this diagnosis should be considered for permanent cardiac pacing.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Tachycardia-related exercise-induced second- and third-degree AV block is located distal to the AV node.
“Tachycardia-related exerciseinduced second- and third-degree AV block has been shown to be located distal to the AV node 253”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [253]
The Discussion (page not supplied) reports that three patients developed rate-related 2:1 or 3:1 AV block during exercise and that electrophysiologic testing confirmed a distal site of block. This supports the claim for the high-grade block observed in those patients, but the paper does not establish that all such exercise-induced block is distal to the AV node or document third-degree (complete) block in its cases. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn tachycardia-related exercise-induced AV block, a resting ECG frequently shows intraventricular conduction abnormalities, but cases with a normal resting ECG have also been described.
“A resting ECG frequently shows intraventricular conduction abnormalities, 253,254 but cases with a normal resting ECG have also been described. 256,257”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [253]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Dhingra, R. C., Wyndham, C. R. C., Bauernfeind, R. A., Swiryn, S., DEEDWANIA, P. C., Smith, T., DENES, P., & Rosen, K. M. (1979) · Circulation · doi:10.1161/01.cir.60.7.1455 · Cited by 160 · see citing works
Atrioventricular conduction in man
LISTER, J. W., Stein, E., Kosowsky, B. D., Lau, S. H., & Damato, A. N. (1965) · The American Journal of Cardiology · doi:10.1016/0002-9149(65)90028-7 · Cited by 129 · see citing works
Clinical Aspects of High-Grade Heart-Block
Gilchrist, A. (1958) · Scottish Medical Journal · doi:10.1177/003693305800300201 · Cited by 84 · see citing works
Wenckebach second-degree A-V block in top-ranking athletes: an old problem revisited
Zeppilli, P., Fenici, R., Sassara, M., Pirrami, M. M., & Caselli, G. (1980) · American Heart Journal · doi:10.1016/0002-8703(80)90140-4 · Cited by 82 · see citing works
Fisch, C., Zipes, D. P., & McHenry, P. L. (1973) · Circulation · doi:10.1161/01.cir.48.4.714 · Cited by 77 · see citing works
Gooch, A. S., & McConnell, D. (1970) · Progress in Cardiovascular Diseases · doi:10.1016/0033-0620(70)90004-6 · Cited by 75 · see citing works
Rosen, K. M. (1973) · Archives of Internal Medicine · doi:10.1001/archinte.1973.00320110047006 · Cited by 65 · see citing works
Disturbances of cardiac rhythm and conduction induced by exercise
DeMaria, A. N., Vera, Z., Amsterdam, E. A., Mason, D. T., & Massumi, R. A. (1974) · The American Journal of Cardiology · doi:10.1016/0002-9149(74)90213-6 · Cited by 58 · see citing works
The influence of the parasympathetic nervous system on atrioventricular conduction.
Martin, P. (1977) · Circulation Research · doi:10.1161/01.res.41.5.593 · Cited by 50 · see citing works
Transient Left Posterior Hemiblock
Bobba, P., SALERNO, J. A., & Casari, A. (1972) · Circulation · doi:10.1161/01.cir.46.5.931 · Cited by 45 · see citing works
Exercise testing for detecting changes in cardiac rhythm and conduction
Gooch, A. S. (1972) · The American Journal of Cardiology · doi:10.1016/0002-9149(72)90148-8 · Cited by 43 · see citing works
Significance of exercise-induced second degree atrioventricular block.
Bakst, A., Goldberg, B., & Schamroth, L. (1975) · Heart · doi:10.1136/hrt.37.9.984 · Cited by 39 · see citing works
Conduction system in a patient with Prinzmetal's angina and transient atrioventricular block
Bharati, S., Dhingra, R. C., Lev, M., Towne, W. D., Rahimtoola, S. H., & Rosen, K. M. (1977) · The American Journal of Cardiology · doi:10.1016/s0002-9149(77)80022-2 · Cited by 37 · see citing works
Intermittent Left Anterior Hemiblock during Treadmill Exercise Test
OLIVEROS, R. A., Seaworth, J. F., Weiland, F. L., & Boucher, C. A. (1977) · CHEST Journal · doi:10.1378/chest.72.4.492 · Cited by 37 · see citing works
Paroxysmal second-degree atrioventricular block induced by exercise.
Rozanski, J. J., Castellanos, A., Sheps, D. S., Pozen, R. G., & Myerberg, R. (1980) · PubMed · Cited by 18 · see citing works
Kastor, J. A. (1975) · New England Journal of Medicine · doi:10.1056/nejm197503132921106 · Cited by 15 · see citing works
Atrioventricular block response to exercise and intraventricular conduction at rest.
Moulopoulos, S. D., Darsinos, J. T., & Sideris, D. A. (1972) · Heart · doi:10.1136/hrt.34.10.998 · Cited by 14 · see citing works
(1961) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1961.tb07117.x · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 8
- I . Gooc h AS . Exercise testmg for detecting change in cardiac rhythm and con duction. Am J Cardiol 1972 ;30:741-6.
- Gooch AS. McConnell D. Analysis of transient arrhythmias and con - duction disturbances occurring durin g submaximal exercise testing Prog Cardiovasc Dis 1979;13:293-307 .
- Rozanski JJ, Castellanos A. Sheps D, Pozen R, Myerburg RJ. Par- oxy smal second-degree atnovent ricular block induced by exercise Heart Lung 1980;9:887-90 .
- Moul opoul os SD , Darsinos J , Sider is DA. Atrioventnc ular block re- sponse to exe rcise and intrave ntricular conduction at rest. Br Heart J 1972;34:998-1 004.
- Zepe lh P. Fenici R , Sassava M, Prrrarru MM. Caselli G. Wenckebach second-degree A-V block m top-rankin g athletes: an old problem re- visited. Am Heart J 1980 ;100:281-94.
- Oliveros RA . Seaworth J . Weiland FL, et al. lnterrmttent left anten or hemiblock dunng treadmill exe rcise test. Co rrelation With coronary angiogram Chest 1977;72:492-4
- Dhmgra RC, Wyndham C, Bauernfeind R, et al. Significance of block distal to the HISbundle induced by atna l pacing in patient s with chronic bifascicular block . Circul ation 1979;60:1455-64.
- Kastor JA. Atriove ntnc ular block. N EngI J Med 1975;292:572-4 .
Cited by
Sorted by citations
Developed in collaboration with, European Heart Rhythm Association (EHRA), Heart Failure Association (HFA), and Heart Rhythm Society (HRS), societies, E. B. T. F., European Society of Emergency Medicine (EuSEM), European Federation of Internal Medicine (EFIM), European Union Geriatric Medicine Society (EUGMS), American Geriatrics Society (AGS), European Neurological Society (ENS), et al. (2009) · European Heart Journal · doi:10.1093/eurheartj/ehp298 · Cited by 2,040 · see citing works
2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy
Glikson, M., Nielsen, J. C., Kronborg, M. B., Michowitz, Y., Auricchio, A., Barbash, I. M., Barrabés, J. A., Boriani, G., Braunschweig, F., Brignole, M., et al. (2021) · European Heart Journal · doi:10.1093/eurheartj/ehab364 · Cited by 2,019 · see citing works
2018 ESC Guidelines for the diagnosis and management of syncope
Brignole, M., Moya, A., de Lange, F. J., Deharo, J.-C., Elliott, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martín, A., et al. (2018) · European Heart Journal · doi:10.1093/eurheartj/ehy037 · Cited by 1,951 · see citing works
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.10.044 · Cited by 1,008 · see citing works
Guidelines on management (diagnosis and treatment) of syncope
Brignole, M. (2001) · European Heart Journal · doi:10.1053/euhj.2001.2739 · Cited by 951 · see citing works
2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy
Glikson, M., Nielsen, J. C., Kronborg, M. B., Michowitz, Y., Auricchio, A., Barbash, I. M., Barrabés, J. A., Boriani, G., Braunschweig, F., Brignole, M., et al. (2021) · EP Europace · doi:10.1093/europace/euab232 · Cited by 927 · see citing works
Guidelines on Management (diagnosis and treatment) of syncope ? update 2004
Brignole, M., Alboni, P., Benditt, D. G., Bergfeldt, L., Blanc, J., Thomsen, P. E. B., van Dijk, J. G., Fitzpatrick, A. P., Hohnloser, S. H., Janousek, J., et al. (2004) · EP Europace · doi:10.1016/j.eupc.2004.08.008 · Cited by 648 · see citing works
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000628 · Cited by 603 · see citing works
2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Heart Rhythm · doi:10.1016/j.hrthm.2017.03.004 · Cited by 484 · see citing works
2018 ESC Guidelines for the diagnosis and management of syncope
Brignole, M., Moya‐Mitjans, À., de Lange, F. J., Deharo, J., Elliot, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martiın, A., et al. (2018) · Kardiologia Polska · doi:10.5603/kp.2018.0161 · Cited by 474 · see citing works
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000499 · Cited by 453 · see citing works
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000498 · Cited by 408 · see citing works
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.10.043 · Cited by 337 · see citing works
2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.03.003 · Cited by 327 · see citing works
Guía de práctica clínica para el diagnóstico y manejo del síncope (versión 2009)
Moya‐Mitjans, À., Sutton, R., Ammirati, F., Blanc, J., Brignole, M., Dahm, J. B., Deharo, J., Gajek, J. J., Gjesdal, K., Krahn, A. D., et al. (2009) · Revista Española de Cardiología (English Edition) · doi:10.1016/s1885-5857(09)73541-8 · Cited by 277 · see citing works
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000627 · Cited by 159 · see citing works
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.03.002 · Cited by 155 · see citing works
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2018) · Heart Rhythm · doi:10.1016/j.hrthm.2018.10.036 · Cited by 138 · see citing works
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Heart Rhythm · doi:10.1016/j.hrthm.2018.10.037 · Cited by 131 · see citing works
Genetic defects in a His-Purkinje system transcription factor,IRX3, cause lethal cardiac arrhythmias
Koizumi, A., Sasano, T., Kimura, W., Miyamoto, Y., Aiba, T., Ishikawa, T., Nogami, A., Fukamizu, S., Sakurada, H., Takahashi, Y., et al. (2015) · European Heart Journal · doi:10.1093/eurheartj/ehv449 · Cited by 78 · see citing works
JCS/JHRS 2022 Guideline on Diagnosis and Risk Assessment of Arrhythmia
Takase, B., Ikeda, T., Shimizu, W., Abe, H., Aiba, T., Chinushi, M., Koba, S., KUSANO, K. F., Niwano, S., Takahashi, N., et al. (2023) · Circulation Journal · doi:10.1253/circj.cj-22-0827 · Cited by 67 · see citing works
Syncope: Diagnosis and Management
Walsh, K., Hoffmayer, K. S., & Hamdan, M. H. (2014) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2014.11.001 · Cited by 49 · see citing works
Clinical and electrophysiologic features of exercise-induced atrioventricular block
Sumiyoshi, M., Nakata, Y., Yasuda, M., Tokano, T., Ogura, S., Nakazato, Y., & Yamaguchi, H. (1996) · American Heart Journal · doi:10.1016/s0002-8703(96)90476-7 · Cited by 44 · see citing works
Exercise-provoked distal atrioventricular block
Chokshi, S. K., Sarmiento, J., Nazari, J., Mattioni, T. A., Zheutlin, T. A., & Kehoe, R. (1990) · The American Journal of Cardiology · doi:10.1016/0002-9149(90)90749-q · Cited by 43 · see citing works
Carrington, M., Providencia, R. A., Chahal, C. A. A., Ricci, F., Epstein, A. E., Gallina, S., Fedorowski, A., Sutton, R., & Khanji, M. Y. (2022) · European Heart Journal Open · doi:10.1093/ehjopen/oeac072 · Cited by 43 · see citing works
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Heart Rhythm · doi:10.1016/j.hrthm.2017.03.005 · Cited by 34 · see citing works
Exercise-induced atrioventricular block: Report of three cases
Peller, O. G., Moses, J. W., & Kligfield, P. (1988) · American Heart Journal · doi:10.1016/0002-8703(88)90031-2 · Cited by 31 · see citing works
Exercise-induced complete heart block in a patient with chronic bifascicular block
Byrne, J. M., Marais, H. J., & Cheek, G. A. (1994) · Journal of Electrocardiology · doi:10.1016/s0022-0736(05)80273-0 · Cited by 28 · see citing works
Guía ESC 2021 sobre estimulación cardiaca y terapia de resincronización
Glikson, M., Nielsen, J. C., Kronborg, M. B., Michowitz, Y., Auricchio, A., Barbash, I. M., Barrabés, J. A., Boriani, G., Braunschweig, F., Brignole, M., et al. (2022) · Revista Española de Cardiología · doi:10.1016/j.recesp.2021.10.025 · Cited by 26 · see citing works
2020 Clinical practice guidelines for Bradyarrhythmias and conduction disorders
Revishvili, A. S., Artyukhina, Е. А., Глезер, М. Г., Базаев, В. А., Batalov, R. E., Bokeria, L. A., Bokeria, O. L., Davtyan, K. V., Ivanitsky, E. A., Ковалев, А. С., et al. (2021) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2021-4448 · Cited by 28 · see citing works
Exercise-Related Atrioventricular Block
Coplan, N. L., Morales, M. C., Romanello, P. P., Wilentz, J. R., & Moses, J. W. (1991) · CHEST Journal · doi:10.1378/chest.100.6.1728 · Cited by 19 · see citing works
The noninvasive evaluation of syncope of suspected cardiovascular origin
Strasberg, B., Sagie, A., Rechavia, E., Sclarovsky, S., & Agmon, J. (1989) · American Heart Journal · doi:10.1016/0002-8703(89)90671-6 · Cited by 19 · see citing works
Selecting Appropriate Diagnostic Tools for Evaluating the Patient With Syncope/Collapse
Krahn, A. D., Andrade, J. G., & Deyell, M. W. (2013) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2012.11.003 · Cited by 18 · see citing works
Bonikowske, A. R., Barout, A., Fortin-Gamero, S., Barillas-Lara, M. I., Kapa, S., & Allison, T. G. (2019) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2019.03.009 · Cited by 18 · see citing works
JCS / JHRS 2022 Guideline on Diagnosis and Risk Assessment of Arrhythmia
Takase, B., Ikeda, T., Shimizu, W., Abe, H., Aiba, T., Chinushi, M., Koba, S., KUSANO, K. F., Niwano, S., Takahashi, N., et al. (2024) · Journal of Arrhythmia · doi:10.1002/joa3.13052 · Cited by 20 · see citing works
Exercise Induced Atrioventricular Block with Gap Phenomenon in Atrioventricular Conduction
Toeda, T., SUETAKE, S., Tsuchida, K., Takahashi, K., Miida, T., Oda, H., & Higuma, N. (2000) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2000.tb00840.x · Cited by 17 · see citing works
Exercise induced atrio-ventricular (AV) block: important but uncommon phenomenon
Egred, M., Jafary, F. H., & Rodrigues, E. (2004) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.06.038 · Cited by 15 · see citing works
Exercise-Induced Second-Degree Atrioventricular Block
Yuzuki, Y., Horie, M., Makita, T., Watanuki, M., Takahashi, A., & Sasayama, S. (1997) · Japanese Circulation Journal-english Edition · doi:10.1253/jcj.61.268 · Cited by 14 · see citing works
Deaner, A., Fluck, D., & Timmis, A. (1996) · Heart · doi:10.1136/hrt.75.6.640 · Cited by 14 · see citing works
Exercise-induced myocardial ischaemia complicated by paroxysmal complete atrioventricular block
Ho, W.-J., Chu, P.-H., Cheng, N.-J., Hsu, T. Y., & Lee, Y. S. (2004) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2004.00225.x · Cited by 11 · see citing works
Atrioventricular Conduction System Disease
Vijayaraman, P., & Ellenbogen, K. A. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-37804-8.00014-6 · Cited by 11 · see citing works
Ozier, D., Zivkovic, N., Elbaz‐Greener, G., Singh, S. M., & Wijeysundera, H. C. (2017) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2017.08.012 · Cited by 10 · see citing works
Exercise-induced Atrioventricular Block
Hemann, B. A., Jezior, M. R., & Atwood, J. E. (2006) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200609000-00007 · Cited by 9 · see citing works
Tachycardia-dependent second degree AV-block in patient with right bundle branch block
Kalusche, D., & Roskamm, H. (1987) · Journal of Electrocardiology · doi:10.1016/s0022-0736(87)80107-3 · Cited by 9 · see citing works
Guía de práctica clínica para el diagnóstico y manejo del síncope (versión 2009)
Moya‐Mitjans, À., Sutton, R., Ammirati, F., Blanc, J., Brignole, M., Dahm, J. B., Deharo, J., Gajek, J. J., Gjesdal, K., Krahn, A. D., et al. (2009) · Revista Española de Cardiología · doi:10.1016/s0300-8932(09)73132-x · Cited by 22 · see citing works
Exercise-induced second-degree atrioventricular block
Pappas, L. K., Efremidis, M., Sideris, A., Letsas, Κ. P., Kounas, S. P., & Kardaras, F. G. (2005) · International Journal of Cardiology · doi:10.1016/j.ijcard.2005.06.060 · Cited by 8 · see citing works
2025 Clinical practice guidelines for Bradyarrhythmias and conduction disorders
Revishvili, A. S. H., Glezer, M. G., Artyukhina, Е. А., Базаев, В. А., Batalov, R. E., Bockeria, L. A., Davtyan, K. V., Lebedev, D. S., Лебедева, В. К., Lyubimtseva, T. A., et al. (2026) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2025-6669 · Cited by 8 · see citing works
Pacing for Atrioventricular Conduction System Disease
Stambler, B. S., & Ellenbogen, K. A. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4377-1616-0.00014-x · Cited by 6 · see citing works
Atrioventricular Block Induced by Exercise Is Not Always Infrahisian
Martí‐Almor, J., Cladellas, M., & Bruguera, J. (2005) · Revista Española de Cardiología (English Edition) · doi:10.1016/s1885-5857(06)60408-8 · Cited by 6 · see citing works
Martow, E., & Sandhu, R. K. (2019) · Medical Clinics of North America · doi:10.1016/j.mcna.2019.05.002 · Cited by 6 · see citing works
Exercise-induced atrioventricular block
Wayne, V. S. (1984) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(84)80079-0 · Cited by 6 · see citing works
Barold, S. S., & Herweg, B. (2024) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2024.1450705 · Cited by 5 · see citing works
Yamazaki, S., Kato, T., Ushimaru, S., Yokoi, H., & Mani, H. (2017) · Internal Medicine · doi:10.2169/internalmedicine.9398-17 · Cited by 5 · see citing works
The Role of the Syncope Management Unit
Kenny, R. A., Rice, C. P., & Byrne, L. (2015) · Cardiology Clinics · doi:10.1016/j.ccl.2015.04.016 · Cited by 5 · see citing works
Der wahre und der falsche Mobitz
Pop, T. L., & Olshausen, K. V. (2009) · Der Kardiologe · doi:10.1007/s12181-009-0160-y · Cited by 4 · see citing works
Rumoroso, J. R., Orbe, P. M. M., Cembellín, J. C., Pérez-García, P., González-Liébana, J., Varela, S. G., Bodegas, A., & Barrenetxea, J. I. (1997) · Revista Española de Cardiología · doi:10.1016/s0300-8932(97)73218-4 · Cited by 4 · see citing works
Common ECG interpretation software mistakes Part III: Computer errors that should never be missed
Littmann, L. (2023) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2023.08.004 · Cited by 4 · see citing works
Exercise-related syncope: are athletes different from sedentary subjects?
Brignole, M. (2002) · European Heart Journal · doi:10.1053/euhj.2001.3123 · Cited by 4 · see citing works
Vezzosi, T., Domenech, O., Cipollini, C., Cantile, C., Côté, É., & Tognetti, R. (2019) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.255.11.1234 · Cited by 4 · see citing works
Guidelines for Competitive Athletes with Arrhythmias
Alsheikh, T., & Zipes, D. P. (2000) · Developments in cardiovascular medicine · doi:10.1007/978-94-017-0789-3_9 · Cited by 4 · see citing works
Braga, F., Bessa, T., Cunha, M., Paiva, R. B., & Stein, R. (2024) · European Heart Journal - Case Reports · doi:10.1093/ehjcr/ytae316 · Cited by 3 · see citing works
Wenckebach Type Second Degree Atrioventricular Block in the His-Purkinje System.
Tokano, T., Nakata, Y., Yasuda, M., Matsumoto, Y., Ohno, Y., Hisaoka, T., Sumiyoshi, M., Ogura, S., Nakazato, Y., & Yamaguchi, H. (1996) · Japanese Journal of Electrocardiology · doi:10.5105/jse.16.1 · Cited by 3 · see citing works
Exercise Stress Test–Induced Atrioventricular Dissociation With Syncope
Oo, Z. T., Bhavsar, D., Aung, T. P. P., Ayala-Rodriguez, C. E., & Kyaw, H. (2021) · Ochsner Journal · doi:10.31486/toj.20.0134 · Cited by 3 · see citing works
El bloqueo auriculoventricular desencadenado por el ejercicio no es siempre infrahisiano
Martí‐Almor, J., Cladellas, M., & Bruguera, J. (2005) · Revista Española de Cardiología · doi:10.1157/13079923 · Cited by 3 · see citing works
The Role of the Syncope Management Unit
Kenny, R. A., Rice, C. P., & Byrne, L. (2013) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2013.08.013 · Cited by 3 · see citing works
Cosío, F. G., Palacios, J., Pastor, A., & Núñez, A. (2009) · doi:10.1093/med/9780199566990.003.002 · Cited by 3 · see citing works
Cruse, A. M., Booth, M. A., & DeFrancesco, T. C. (2008) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.232.4.510 · Cited by 3 · see citing works
Táborský, M., Kautzner, J., Fedorco, M., Čurila, K., Wünschová, H., Pyszko, J., Novák, M., Kozák, M., Válek, M., Polášek, R., et al. (2022) · Cor et Vasa · doi:10.33678/cor.2022.024 · Cited by 2 · see citing works
Pacing for Atrioventricular Conduction System Disease
Stambler, B. S., Rahimtoola, S. H., & Ellenbogen, K. A. (2007) · Elsevier eBooks · doi:10.1016/b978-1-4160-2536-8.50019-4 · Cited by 2 · see citing works
Marcadet, D.-M. (2006) · EMC - Cardiologie · doi:10.1016/s1166-4568(04)38411-1 · Cited by 2 · see citing works
Seegers, J., & Zabel, M. (2011) · Herzschrittmachertherapie + Elektrophysiologie · doi:10.1007/s00399-011-0131-4 · Cited by 1 · see citing works
Ruiz-García, J., Atienza, F., Arenal, Á., & Fernández‐Avilés, F. (2014) · Revista Española de Cardiología · doi:10.1016/j.recesp.2014.03.016 · Cited by 1 · see citing works
Infranodal Atrioventricular Block as a Possible Cause of Exercise-induced Cardiac Arrest
Ruiz-García, J., Atienza, F., Arenal, Á., & Fernández‐Avilés, F. (2014) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.rec.2014.03.016 · Cited by 1 · see citing works
2018 KHRS guideline for the evaluation and management of syncope-Part 1
Park, J., Cha, M.-J., Kim, D. H., Kim, Y. R., Mun, H. S., Bae, E. J., Seo, D. W., Song, M. K., Ahn, J., Yoon, H. D., et al. (2018) · International Journal of Arrhythmia · doi:10.18501/arrhythmia.2018.009 · Cited by 1 · see citing works
2018 KHRS guideline for the evaluation and management of syncope-Part 2
Kim, Y. R., Chun, K. J., Kim, J. S., Mun, H. S., Park, J., Seo, D. W., Song, M. K., Ahn, J. H., Yoon, H. J., Lee, D. I., et al. (2018) · International Journal of Arrhythmia · doi:10.18501/arrhythmia.2018.010 · Cited by 1 · see citing works
Diagnostic approaches to syncope in Internal Medicine Departments and their effect on mortality
Galron, E., Kehat, O., Weiss‐Meilik, A., Furlan, R., & Jacob, G. (2022) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2022.05.015 · Cited by 1 · see citing works
Marcadet, D.-M. (2004) · EMC - Cardiologie-Angéiologie · doi:10.1016/j.emcaa.2004.08.001 · Cited by 1 · see citing works
Kimmel, S., Pfeiffer, D., & Schwarz, J. (2008) · Der Internist · doi:10.1007/s00108-007-2003-x · Cited by 1 · see citing works
The Role of Pacing in Elderly Patients with Unexplained Syncope
Lee, J. Z., Mulpuru, S. K., & Shen, W. K. (2019) · Current Cardiovascular Risk Reports · doi:10.1007/s12170-019-0608-y · Cited by 1 · see citing works
Ono, R., Okada, S., Kitagawa, M., Takaoka, H., Miyauchi, H., & Kobayashi, Y. (2020) · BMJ Case Reports · doi:10.1136/bcr-2020-238635 · Cited by 1 · see citing works
Jiménez‐Arjona, R., Salas, A. R., & Cabrera‐Bueno, F. (2019) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/j.med.2019.11.003 · Cited by 1 · see citing works
Progressive Atrioventricular Block During Exercise in Univentricular Heart
Alboliras, E. T., Porter, C.-B. J., Ritter, D. G., Danielson, G. K., & Driscoll, D. J. O. (1986) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1986.tb06631.x · Cited by 1 · see citing works
Syncope with Exercise: Mechanisms and Management
Benditt, D. G. (2002) · Springer eBooks · doi:10.1007/978-88-470-2103-7_6
Indications for and Interpretation of Laboratory Diagnostic Tests
Brignole, M., & Benditt, D. G. (2010) · Springer eBooks · doi:10.1007/978-0-85729-201-8_7
Effort Presyncope Due to Idiopathic Right Ventricular Tachycardia
Civera, R. G., Granell, R. R., Cabedo, S. M., & Mañez, R. S. (2006) · Syncope Cases · doi:10.1002/9780470995013.ch75
Bradyarrhythmias and Indications for Pacing
Peters, R. W., & Gold, M. R. (2002) · Contemporary cardiology · doi:10.1007/978-1-59259-090-2_11
Exercise-induced complete AV block
Kapoor, A., Nadig, S., Agarwal, P., & Kumar, S. (2013) · Heart Views · doi:10.4103/1995-705x.126889
Electrical consequences of myocardial infarction
Rowland, E. (1987) · Springer eBooks · doi:10.1007/978-94-009-3211-1_9
Beleslin, B., Deljanin, M., Kanjuh, V., Parapid, B. J., Giga, V. L., Prostran, M. S., Angelkov, L., Balinovac, J., Bikicki, M., Ambrosio, G., et al. (2013)
Exercise-Induced Complete Atrioventricular Block: A Case Report
Wu, Y., Lin, L., Pan, M., & Huang, P.-J. (2002) · 核子醫學雜誌 · doi:10.6332/anms.1504.008
Benditt, D. G., Blanc, F. J.-J., Brignole, F. M., & DScMed, F. R. S. (2006) · Wiley eBooks · doi:10.1002/9781444312812.refs
Kirubakaran, S., & Gill, J. S. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-0285-9.00055-7
Exercise Stress Tests in Arrhythmology
Робертович, Б. Э., Жабина, Е. С., & Treshkur, T. V. (2019) · Translational Medicine · doi:10.18705/2311-4495-2019-6-3-5-14
Podsumowanie wskazań do implantacji układów stymulujących serce
Załuska, R., Bobruk, M., Bobruk, M., Grabowski, M., & Bobruk, M. (2019) · Choroby Serca i Naczyń · doi:10.5603/chsin.2019.0041
Exercise stress tests in heart rhythm and conduction disturbances
Treshkur, T. V., & Робертович, Б. Э. (2020) · Russian Journal of Cardiology and Cardiovascular Surgery · doi:10.17116/kardio202013031239
川原, 有., 樋口基明, 義郎, 千., 直人, 川., 真由, 石., 山田, 典., 晃司, 大., & 実, 村. (2019) · 心臓 · doi:10.11281/shinzo.51.840
Kardiale Synkope: Diagnostik und Therapie
Seegers, J., & Zabel, M. (2011) · Herzschrittmachertherapie + Elektrophysiologie
(2017) · Wiley eBooks · doi:10.1002/9781119233503.ch13
Brignole, M., Blanc, J., Sutton, R., & Moya‐Mitjans, À. (2009) · doi:10.1093/med/9780199566990.003.026
- Authors
- Woelfel, A. K., Simpson, R. J., Gettes, L. S., & Foster, J. R.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Foster, James R.
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 1983-09
- Volume
- 2
- Issue
- 3
- Pages
- 578-581
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2076374966
- Cited by
- 106
- References
- 18
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 3 · 2019: 10 · 2018: 8 · 2017: 9 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Keywords
- high-grade atrioventricular block, His-Purkinje system, cardiac conduction disorders, atrial rate, refractoriness, treadmill exercise testing, permanent cardiac pacing, bundle branch block
- MeSH terms
- Aged, Atrioventricular Node, Electrocardiography, Electrophysiology, Physical Exertion, Heart Block, Heart Conduction System, Humans, Male, Middle Aged
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
