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J Am Coll Cardiol, 2005; 45:1306, doi:10.1016/j.jacc.2005.01.029
© 2005 by the American College of Cardiology Foundation
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CORRESPONDENCE: LETTERS TO THE EDITOR

Reply

Nagib Dahdah, MD, FACC* and Joaquim Mirò, MD, FRCP

* Sainte-Justine Hospital, Division of Pediatric Cardiology, 3175 Cote St. Catherine, Montreal, QC H3T1C-5, Canada (Email: ndahdah{at}pol.net).

We appreciate the comment regarding the interpretation of the rhythm strip we provided for our study (1). Reviewing the rhythm strip in question, we could not disagree with the arguments made by Drs. Kaplan and Denes. After searching the patient’s file, we are unable now to provide a printed confirmation of the third-degree atrioventricular (AV) block we had witnessed during the patient’s intensive care unit monitoring. However, we remain affirmative of the AV dissociation observed during the initial hours after the catheter intervention. Unfortunately, all subsequent records demonstrated 3:2, then 2:1, block until full recovery.


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1. Suda K, Raboisson M-J, Piette E, Dahdah NS, Miro J. Reversible atrioventricular block associated with closure of atrial septal defects using the Amplatzer device J Am Coll Cardiol 2004;43:1677-1682.[Abstract/Free Full Text]


Related Article

Reversible atrioventricular block and the Amplatzer device
Benjamin M. Kaplan and Pablo Denes
J. Am. Coll. Cardiol. 2005 45: 1306. [Full Text] [PDF]




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