Zusammenfassung
Wir berichten über einen 22-jährigen Leistungssportler mit asymptomatischen nächtlichen Sinuspausen bis zu 7,3 s sowie inadäquaten Sinustachykardien. In der durchgeführten Diagnostik inklusive Magnetresonanztomographie, Linksherzkatheteruntersuchung und elektrophysiologischer Untersuchung fanden sich keine Hinweise auf eine strukturelle Herzerkrankung oder eine spezifische Erkrankung des Reizbildungs- oder Reizleitungssystems. Deshalb entschieden wir uns bei dem jungen Patienten gegen die Implantation eines Herzschrittmachers. Nach 14 Monaten zeigen sich unverändert die asymptomatischen Pausen.
Abstract
A 22-year-old athlete with nocturnal asymptomatic episodes of transient sinus arrest/sinoatrial block up to 7.3 s and recurrent inappropriate sinus tachycardias which had been incidentally found during Holter electrocardiography diagnostics is presented. In spite of extensive diagnostic work-up including invasive procedures like coronary angiography and electrophysiological study, no causal etiology was found. Based on the normal findings and the lack of symptoms, we decided not to implant a permanent pacemaker. After 14 months, the patient is still asymptomatic. Howerver, the 24-h Holter electrocardiography shows unchanged frequency of nocturnal transient sinus arrest episodes.
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Siebermair, J., Pohl, T., Wakili, R. et al. 22-jähriger Sportler mit Sinusarrest und Pausen bis 7 Sekunden. Internist 53, 218–222 (2012). https://doi.org/10.1007/s00108-011-2948-7
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DOI: https://doi.org/10.1007/s00108-011-2948-7