The total absence of atrial automaticity in a child with sinus node dysfunction View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-09

AUTHORS

Fabrizio Drago, Giovanni Fazio, Alfredo Di Pino, Massimo Stefano Silvetti

ABSTRACT

BACKGROUND: A routine sports evaluation identified constant alternation between a junctional and idioventricular rhythm in a 9-year-old child. During exercise testing, electrography demonstrated that the child was in junctional rhythm without any apparent P waves, and had a reduced increase in heart rate. Endocardial atrial pacing captured the atrium and demonstrated that atrioventricular conduction was normal, but the recovery time of the ectopic rhythm was very long. Three-dimensional electrophysiological mapping revealed 1:1 retrograde homogeneous conduction through the right atrium. INVESTIGATIONS: Electrocardiography, Holter monitoring, echocardiography, exercise stress testing, atrial pacing, three-dimensional electroanatomical mapping of the right atrium and genetic testing. DIAGNOSIS: Sinus node dysfunction. MANAGEMENT: Pacemaker implantation was postponed until a later stage in the patient's development. More... »

PAGES

513-517

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/ncpcardio0966

DOI

http://dx.doi.org/10.1038/ncpcardio0966

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032627011

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17712364


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