case_images: PMC5290678_01
case_images: (a) 12 lead electrocardiogram and telemetry strip showing Mobitz II second-degree atrioventricular block. (b and c) Transthoracic echocardiogram apical four chambers view (b) and two chamber view (c) showing color flow Doppler of diastolic mitral regurgitation. (d) Transthoracic echocardiogram parasternal long axis view showing color flow Doppler of diastolic mitral regurgitation
case_images: ACA-20-102-g001.jpg
case_images: PMC5290678_01_ACA-20-102-g001.jpg
case_images: F1
case_images: Type II heart block and did not demonstrate any ischemic changes [Figure 1a]. Troponins were negative, and brain natriuretic peptide was elevated at 353 pg/mL. The regurgitation jet can only be seen during episodes of heart block and was consistent with patient's symptoms [Figure 1b-d and Supplementary Movies 1-3].