The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2010;78(1):109-112.
인공 심박동기 시술로 치료한 Atrial standstill 1예
조정현, 안연정, 윤성은, 정영훈, 최봉룡, 황진용, 곽충환
Atrial standstill treated with implantation of permanent pacemaker
Jung-Hyun Cho, Yeon-Jeong Ahn, Seong-Eun Yun, Young-Hoon Jeong, Bong-Ryong Choi, Jin-Yong Hwang, Choong-Hwan Kwak


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. (Korean J Med 78:109-112, 2010)

Keywords :Atrial standstill, Pacemaker
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