Misinterpretation of sleep-induced second-degree atrioventricular block

A number of publications have claimed that Mobitz type Ⅱ atrioventricular block(AVB)may occur during sleep.None of the reports defined type Ⅱ AVB and representative electrocardiograms were either misinterpreted or missing.Relatively benign Wenckebach type Ⅰ AVB is often misdiagnosed as Mobitz type Ⅱ which is an indication for a pacemaker.Review of the published reports indicates that Mobitz type II AVB does not occur during sleep when it is absent in the awake state.Conclusion:There is no proof that sleep is associated with Mobitz type Ⅱ AVB.

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报道1例睡眠时发生的二度Ⅰ型房室传导阻滞患者,对其疾病特点进行分析,以便为临床早期制订干预方案提供指导和参考,以控制病情进展,有效维护患者生命安全和健康。

一度Ⅰ型房室传导阻滞1例

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