TY - JOUR
T1 - Sinus node dysfunction masquerading as complete atrioventricular block in the setting of atrial parasystole after heart transplantation
AU - Gorla, Sudheer R.
AU - Raja, Kishore R.
AU - Sokoloski, Mary C.
AU - Swaminathan, Sethuraman
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Heart transplantation is the gold standard for treatment of end stage heart failure. Atrial parasystole (AP), defined as the presence of an additional dissociated atrial pacemaker on a surface electrocardiogram, has been described to be seen after heart transplantation using biatrial surgical technique. AP may pose a challenge in diagnosing underlying rhythm disturbances in these patients. Here, we report a rare phenomenon of junctional escape rhythm with sinus node dysfunction, mimicking as complete atrioventricular block due to the presence of an AP, in a heart transplant recipient.
AB - Heart transplantation is the gold standard for treatment of end stage heart failure. Atrial parasystole (AP), defined as the presence of an additional dissociated atrial pacemaker on a surface electrocardiogram, has been described to be seen after heart transplantation using biatrial surgical technique. AP may pose a challenge in diagnosing underlying rhythm disturbances in these patients. Here, we report a rare phenomenon of junctional escape rhythm with sinus node dysfunction, mimicking as complete atrioventricular block due to the presence of an AP, in a heart transplant recipient.
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U2 - 10.1016/j.jelectrocard.2017.12.001
DO - 10.1016/j.jelectrocard.2017.12.001
M3 - Article
C2 - 29263012
AN - SCOPUS:85037974546
SN - 0022-0736
VL - 51
SP - 555
EP - 558
JO - Journal of Electrocardiology
JF - Journal of Electrocardiology
IS - 3
ER -