Alternating QRS Morphologies and PR Intervals After Transcatheter Aortic Valve Replacement

Vivek T. Kulkarni, MD, MHS, EdM; Naga Venkata K. Pothineni, MD; Ramanan Kumareswaran, MD

JACC: Case Reports (Sep 2020)

Alternating QRS Morphologies and PR Intervals After Transcatheter Aortic Valve Replacement

Vivek T. Kulkarni, MD, MHS, EdM,
Naga Venkata K. Pothineni, MD,
Ramanan Kumareswaran, MD

Affiliations

Vivek T. Kulkarni, MD, MHS, EdM: Division of Cardiovascular Medicine, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Address for correspondence: Dr. Vivek T. Kulkarni, Hospital of the University of Pennsylvania, 3400 Civic Center Boulevard, 11th floor, Philadelphia, Pennsylvania 19104.
Naga Venkata K. Pothineni, MD: Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Section of Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Ramanan Kumareswaran, MD: Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Section of Electrophysiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania

Journal volume & issue: Vol. 2, no. 11
pp. 1742 – 1744

Abstract

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Alternating bundle branch block pattern on electrocardiogram (ECG) is a concerning finding with important prognostic implications. This ECG challenge explores the electrophysiological mechanism of a case of alternating bundle branch block with alternating PR intervals. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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