Pediatric Cardiology

, Volume 39, Issue 3, pp 637–639 | Cite as

Marked First-Degree Atrioventricular Block and Pseudo-Pacemaker Syndrome in a Pediatric Patient

  • Christopher W. Follansbee
  • Lee Beerman
  • Gaurav Arora
Case Report


We describe a 17-year-old female who presented with 3 weeks of abdominal pain, exercise intolerance, and an episode of altered mental status found to have marked first-degree atrioventricular block. Exercise stress test and cardiac catheterization demonstrated pseudo-pacemaker syndrome, and a permanent pacemaker was placed. Following placement, she has resolution of symptoms and markedly improved exercise tolerance.


Heart block Pseudo-pacemaker Pediatric Pacemaker 



There was no funding associated with this case report.

Compliance with Ethical Standards

Conflict of interest

The authors declare they have no conflicts of interest.

Ethical Approval

The above article is a case report and therefore does not contain any research studies with human or animal subjects performed by the authors.

Informed Consent

Informed consent was obtained prior to all clinical procedures in accordance with standard clinical practice. Informed consent for publication was obtained from the patient prior to submission of article.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Pediatric CardiologyChildren’s Hospital of Pittsburgh of UPMCPittsburghUSA

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