Isolated left bundle branch block progressing to complete heart block and asystole: A novel presentation of a desmin mutation  Addison S. Gearhart, MD,

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Isolated left bundle branch block progressing to complete heart block and asystole: A novel presentation of a desmin mutation  Addison S. Gearhart, MD, Anjan S. Batra, MBA, MD, FHRS  HeartRhythm Case Reports  Volume 4, Issue 5, Pages 184-186 (May 2018) DOI: 10.1016/j.hrcr.2018.01.011 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 Initial electrocardiogram (ECG) from emergency department visit for evaluation of syncope. ECG shows sinus rhythm, left bundle branch block, possible biatrial enlargement, and nonspecific ST-segment changes. HeartRhythm Case Reports 2018 4, 184-186DOI: (10.1016/j.hrcr.2018.01.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 A rhythm strip obtained after sudden cardiac arrest. Rhythm strip shows complete heart block with a slow underlying escape rhythm at 20 beats per minute. HeartRhythm Case Reports 2018 4, 184-186DOI: (10.1016/j.hrcr.2018.01.011) Copyright © 2018 Heart Rhythm Society Terms and Conditions