Symptomatic Improvement in a Patient with Sick Sinus Syndrome After the Onset of Stable Atrial Flutter
| Autor: | Bernard H. Boal, Morris Kleinfeld |
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| Rok vydání: | 1978 |
| Předmět: |
Male
medicine.medical_specialty Lightheadedness Bundle-Branch Block Sick sinus syndrome Electrocardiography Recurrence Internal medicine medicine Humans cardiovascular diseases Sick Sinus Syndrome medicine.diagnostic_test Bundle branch block business.industry General Medicine Middle Aged medicine.disease SSS Atrial Flutter cardiovascular system Cardiology medicine.symptom Electrical conduction system of the heart Left anterior fascicular block Cardiology and Cardiovascular Medicine business Atrial flutter Follow-Up Studies |
| Zdroj: | Pacing and Clinical Electrophysiology. 1:472-475 |
| ISSN: | 1540-8159 0147-8389 |
| DOI: | 10.1111/j.1540-8159.1978.tb03509.x |
| Popis: | A patient with sick sinus syndrome (SSS) presented with episodic lightheadedness and weakness. The electrocardiographic features were marked supraventricular bradyarrhythmias and paroxysmal atrial flutter. The symptoms lasted for four years and disappeared with the onset of stable atrial flutter which has persisted for the past seven years. Over the 11-year period of observation, there has been progressive involvement of the His-Purkinje system manifested by the development of left anterior fascicular block, right bundle-branch block, and prolongation of the HV conduction time. The patient has refused pacemaker implantation. In the absence of angina and in the presence of a normal heart size, the etiology of his SSS is postulated to be idiopathic fibrosis of his conduction system. |
| Databáze: | OpenAIRE |
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