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  • Title: Compensatory accessory pathway for complete atrioventricular block: 28-year follow-up.
    Author: Sacher F, Douard H, Wright M, Vircoulon B, Broustet JP.
    Journal: Pacing Clin Electrophysiol; 2009 Jul; 32(7):952-6. PubMed ID: 19572877.
    Abstract:
    We report a case of atrioventricular (AV) block diagnosed 28 years ago compensated by a functional accessory pathway. During follow-up, the accessory pathway conduction properties at rest deteriorated while the refractory properties were unchanged. At 46 years, the patient became symptomatic from bradycardia and a dual-chamber pacemaker was implanted. Although rare, concealed AV block due to an accessory pathway has to be recognized before radiofrequency ablation.
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