Lev's Syndrome: A rare case of progressive cardiac conduction disorder presenting to the emergency department

Lev's Syndrome is a rare, progressive cardiac conduction defect (PCCD) due to myocardial fibrosis first described by Maurice Lev in 1964. This condition, proposed to start in the fourth decade of life, involves a sclerotic fibro-fatty degeneration of the Bundle of His and Purkinje fibers, which Lev proposed caused increasing AV delay with age. With the prevalence of electrocardiogram (ECG) use in the emergency department (ED) for cardiac- and non-cardiac complaints, dysrhythmias can be incidentally found and confuse diagnosis and disposition.

Source: The American Journal of Emergency Medicine - January 31, 2019 Category: Emergency Medicine Authors: Brandon Carius, Brit Long, Steve Schauer Source Type: research