Atrial standstill treated with implantation of permanent pacemaker.
- Author:
Jung Hyun CHO
1
;
Yeon Jeong AHN
;
Seong Eun YUN
;
Young Hoon JEONG
;
Bong Ryong CHOI
;
Jin Yong HWANG
;
Choong Hwan KWAK
Author Information
1. Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea. cwakch@korea.com
- Publication Type:Case Report
- Keywords:
Atrial standstill;
Pacemaker
- MeSH:
Aged, 80 and over;
Arrhythmias, Cardiac;
Bradycardia;
Cardiomyopathies;
Digitalis;
Electrocardiography;
Genetic Diseases, Inborn;
Heart Atria;
Heart Block;
Humans;
Hyperkalemia;
Intracranial Embolism;
Quinidine;
United Nations
- From:Korean Journal of Medicine
2010;78(1):109-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Persistent atrial standstill is an extremely rare arrhythmia that was first described by Chavez et al. Electrocardiographically, atrial standstill is characterized by bradycardia, the absence of a P wave, and a junctional narrow complex escape rhythm. Atrial standstill is usually classified into two types. The transient type is observed in drug intoxication, such as with digitalis or quinidine, and hyperkalemia. The persistent type is uncommon, often accompanied by syncopal attacks or brain embolism. We report a case of persistent atrial standstill in an 83-year-old man who was treated with implantation of a permanent pacemaker.
