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1. A curious alliance: Sinus nodal dysfunction precipitating atrioventricular block

Author

Sreekanth Yerram, MD, Chandramohan Ramasamy, MD, Jayaraman Balachander, MD, DM, and Raja J. Selvaraj, MD, DNB

Subjects
AV block, Sinus node dysfunction, Pacemaker, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

An elderly woman presented with recurrent syncope. Sinus bradycardia and sinoatrial block were seen on the electrocardiogram; however, PR interval prolongation after sinus pauses suggested atrioventricular conduction system disease. The occurrence of complete atrioventricular block after a pause during the electrophysiological study confirmed a diagnosis of paroxysmal atrioventricular block precipitated by sinus pauses secondary to sinus nodal disease.

Published
2014
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