Profound First-Degree Atrioventricular Block in a High-Level Basketball Athlete.

Authors

Justin D Stumph, OhioHealth
William K Cornwell
Michael A Rosenberg
Morteza Khodaee

Document Type

Article

Publication Title

Sports Health

Abstract

First-degree atrioventricular (AV) block (PR interval >200 ms) is commonly observed among screening electrocardiogram (ECG) in athletes. Profound first-degree AV block (PR interval >400 ms) and Mobitz type I (Wenckebach) second-degree AV block are generally uncommon and often require further workup on a case-by-case basis, particularly when there is concern for a structural cardiac abnormality. In this case, we present an example of an asymptomatic profound first-degree AV block with Mobitz type I (Wenckebach) second-degree AV block. Transthoracic echocardiogram and stress echocardiogram were unremarkable and the patient was cleared to participate in sports without any restriction. Physicians managing athletes should be aware of ECG features that require additional evaluation and cardiology consultation.

First Page

938

Last Page

941

DOI

10.1177/19417381231210297

Publication Date

1-1-2024

Recommended Citation

Stumph JD, Cornwell WK 3rd, Rosenberg MA, Khodaee M. Profound First-Degree Atrioventricular Block in a High-Level Basketball Athlete. Sports Health. 2024 Nov-Dec;16(6):938-941. doi: 10.1177/19417381231210297. Epub 2023 Nov 9. PMID: 37946461; PMCID: PMC11531002.