Atrial standstill with subnodal conduction defect and diffuse ventricular fibrosis managed with low right atrial pacing

Pacing Clin Electrophysiol. 2004 Feb;27(2):256-8. doi: 10.1111/j.1540-8159.2004.00422.x.

Abstract

In patients with congenital heart disease presenting with bradyarrhythmia, many electrophysiological abnormalities are found. This report presents a case of a man with surgically corrected single atrium and pulmonary valve stenosis, atrial standstill, delayed AV node conduction, first-degree intra- and second-degree infra-His block, who was permanently paced from a restricted excitable area of the low right atrium, as the pacing threshold was unacceptable at any ventricular site.

Publication types

  • Case Reports

MeSH terms

  • Arrhythmias, Cardiac / therapy*
  • Atrioventricular Node / physiopathology
  • Bradycardia / therapy*
  • Bundle of His / physiopathology
  • Cardiac Pacing, Artificial / methods*
  • Endomyocardial Fibrosis / complications*
  • Heart Atria* / abnormalities
  • Heart Block / therapy
  • Heart Ventricles
  • Humans
  • Male
  • Middle Aged