Documented transient third-degree atrioventricular block and asystole in a child with familial dysautonomia

被引:5
作者
Rotstein, Amichay [1 ,2 ]
Charrow, Joel [3 ]
Deal, Barbara J. [4 ]
机构
[1] Schneider Childrens Hosp, Med Ctr, Div Pediat Cardiol, IL-49202 Petah Tiqwa, Israel
[2] Tel Aviv Univ, Sackler Fac Med, IL-49202 Petah Tiqwa, Israel
[3] Northwestern Univ, Feinberg Sch Med, Childrens Mem Hosp, Dept Genet, Chicago, IL 60611 USA
[4] Northwestern Univ, Feinberg Sch Med, Childrens Mem Hosp, Div Pediat Cardiol, Chicago, IL 60611 USA
关键词
arrhythmia; pacemaker; familial dysautonomia;
D O I
10.1007/s00246-007-9057-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An 11-year-old boy with familial dysautonomia presented with palpitations. Continuous 24-h Holter monitoring revealed intermittent high-grade atrioventricular block and asystole. The unopposed parasympathetic tone in patients with dysautonomia may make them susceptible to bradycardia and atrioventricular block. We recommend routine 24-h Holter monitoring screening and, when indicated, consideration of pacemaker implantation to reduce the high risk of sudden death phenomena in this patient population.
引用
收藏
页码:202 / 204
页数:3
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