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[Sinus node dysfunction in a "healthy heart" in an infant. A case report].
Tunis Med. 2002 Dec; 80(12):793-6.TM

Abstract

Sinus node dysfunction (SND) is a rare cause of bradycardia in children without structural heart disease. However the association between (SND) and abnormality of atrio-ventricular conduction, is more uncommon. We report a case of a child 23 months old, admitted in the cardiology department for a symptomatic bradycardia. Routine ECG and 24-h-Holter monitoring showed atrioventricular junctional rhythms with minimal rates of 24 bpm and episodes of asystole with a maximal duration of 3.7 seconds. The children was implanted with a permanent VVIR mode pacemaker to relieve his symptoms. During a follow-up period of four years, the child developed syncope, the epicardial pacing lead was broken and atrioventricular block was observed. A second pacemaker was inserted by a subclavicular vein, and was programmed in VVIR mode.

Authors+Show Affiliations

Lahidheb D
Service de Cardiologie, Hôpital Militaire Principal d'Instruction de Tunis, Tunisie.
Fehri W
No affiliation info available
Smiri Z
No affiliation info available
Gharbi M
No affiliation info available
Barakett N
No affiliation info available
Haouala H
No affiliation info available
Guediche M
No affiliation info available

MeSH

Arrhythmia, SinusBradycardiaElectrocardiographyElectrocardiography, AmbulatoryFollow-Up StudiesHeart ArrestHeart BlockHeart RateHumansInfantMalePacemaker, ArtificialSyncopeTreatment Outcome

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

12664508

Citation

Lahidheb, Dhaker, et al. "[Sinus Node Dysfunction in a "healthy Heart" in an Infant. a Case Report]." La Tunisie Medicale, vol. 80, no. 12, 2002, pp. 793-6.
Lahidheb D, Fehri W, Smiri Z, et al. [Sinus node dysfunction in a "healthy heart" in an infant. A case report]. Tunis Med. 2002;80(12):793-6.
Lahidheb, D., Fehri, W., Smiri, Z., Gharbi, M., Barakett, N., Haouala, H., & Guediche, M. (2002). [Sinus node dysfunction in a "healthy heart" in an infant. A case report]. La Tunisie Medicale, 80(12), 793-6.
Lahidheb D, et al. [Sinus Node Dysfunction in a "healthy Heart" in an Infant. a Case Report]. Tunis Med. 2002;80(12):793-6. PubMed PMID: 12664508.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Sinus node dysfunction in a "healthy heart" in an infant. A case report]. AU - Lahidheb,Dhaker, AU - Fehri,Wafa, AU - Smiri,Zahhreddine, AU - Gharbi,Mostari, AU - Barakett,Nadia, AU - Haouala,Habib, AU - Guediche,Mohamed, PY - 2003/4/1/pubmed PY - 2003/4/19/medline PY - 2003/4/1/entrez SP - 793 EP - 6 JF - La Tunisie medicale JO - Tunis Med VL - 80 IS - 12 N2 - Sinus node dysfunction (SND) is a rare cause of bradycardia in children without structural heart disease. However the association between (SND) and abnormality of atrio-ventricular conduction, is more uncommon. We report a case of a child 23 months old, admitted in the cardiology department for a symptomatic bradycardia. Routine ECG and 24-h-Holter monitoring showed atrioventricular junctional rhythms with minimal rates of 24 bpm and episodes of asystole with a maximal duration of 3.7 seconds. The children was implanted with a permanent VVIR mode pacemaker to relieve his symptoms. During a follow-up period of four years, the child developed syncope, the epicardial pacing lead was broken and atrioventricular block was observed. A second pacemaker was inserted by a subclavicular vein, and was programmed in VVIR mode. SN - 0041-4131 UR - https://www.unboundmedicine.com/medline/citation/12664508/[Sinus_node_dysfunction_in_a_"healthy_heart"_in_an_infant__A_case_report]_ DB - PRIME DP - Unbound Medicine ER -