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Medicine International
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Print ISSN: 2754-3242 Online ISSN: 2754-1304
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November-December 2023 Volume 3 Issue 6

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Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

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Case Report Open Access

Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report

  • Authors:
    • Dimitrios Sfairopoulos
    • Christos S. Konstantinou
    • Panagiotis Korantzopoulos

  • View Affiliations / Copyright

    Affiliations: First Department of Cardiology, University of Ioannina Faculty of Medicine, 45110 Ioannina, Greece
    Copyright: © Sfairopoulos et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 64
    |
    Published online on: November 23, 2023
       https://doi.org/10.3892/mi.2023.124
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Abstract

In clinical practice, the accurate diagnosis of the causes of syncope is often challenging and demanding. Moreover, certain rare electrocardiographic phenomena may complicate the diagnostic workup, leading to imprecise diagnoses. The present study briefly describes the case of an 82‑year‑old male patient with ischemic cardiomyopathy who suffered syncopal episodes in the setting of trifascicular block. The 12‑lead electrocardiogram revealed premature ventricular contractions and non‑conducted P waves due to the phenomenon of retrograde concealed conduction. Following the exclusion of myocardial ischemia, an electrophysiological study yielded abnormal results and a biventricular pacemaker was implanted. Although retrograde concealed conduction is considered a benign phenomenon caused by the transient modification of antegrade atrioventricular conduction characteristics, further meticulous investigation is required in patients with concomitant baseline conduction abnormalities and/or structural heart disease.
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Copy and paste a formatted citation
Spandidos Publications style
Sfairopoulos D, Konstantinou CS and Korantzopoulos P: Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report. Med Int 3: 64, 2023.
APA
Sfairopoulos, D., Konstantinou, C.S., & Korantzopoulos, P. (2023). Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report. Medicine International, 3, 64. https://doi.org/10.3892/mi.2023.124
MLA
Sfairopoulos, D., Konstantinou, C. S., Korantzopoulos, P."Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report". Medicine International 3.6 (2023): 64.
Chicago
Sfairopoulos, D., Konstantinou, C. S., Korantzopoulos, P."Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report". Medicine International 3, no. 6 (2023): 64. https://doi.org/10.3892/mi.2023.124
Copy and paste a formatted citation
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Spandidos Publications style
Sfairopoulos D, Konstantinou CS and Korantzopoulos P: Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report. Med Int 3: 64, 2023.
APA
Sfairopoulos, D., Konstantinou, C.S., & Korantzopoulos, P. (2023). Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report. Medicine International, 3, 64. https://doi.org/10.3892/mi.2023.124
MLA
Sfairopoulos, D., Konstantinou, C. S., Korantzopoulos, P."Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report". Medicine International 3.6 (2023): 64.
Chicago
Sfairopoulos, D., Konstantinou, C. S., Korantzopoulos, P."Syncope in the setting of trifascicular block and retrograde concealed conduction: A case report". Medicine International 3, no. 6 (2023): 64. https://doi.org/10.3892/mi.2023.124
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