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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
  • 133 Downloads

Abstract

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.

Keywords

Heart block Pseudo-pacemaker Pediatric Pacemaker 

Notes

Funding

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.

References

  1. 1.
    Kwok CS, Rashid M, Beynon R, Barker D, Patwala A, Morley-Davies A, Satchithananda D, Nolan J, Myint PK, Buchan I, Loke YK, Mamas MA (2016) Prolonged PR interval, first-degree heart block and adverse cardiovascular outcomes: a systematic review and meta-analysis. Heart 102:672–680CrossRefPubMedGoogle Scholar
  2. 2.
    Cheng S (2009) Long-term outcomes in individuals with prolonged PR interval or first-degree atrioventricular block. JAMA 301:2571CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Barold SS, Ilercil A, Leonelli F, Herweg B (2006) First-degree atrioventricular block: clinical manifestations, indications for pacing, pacemaker management & consequences during cardiac resynchronization. J Interv Card Electrophysiol 17:139–152CrossRefPubMedGoogle Scholar
  4. 4.
    Epstein AE, DiMarco JP, Ellenbogen KA, Estes NAM, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby LK, Page RL, Schoenfeld MH, Silka MJ, Stevenson LW, Sweeney MO (2008) ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the ACC/AHA/NASPE 2002 Guideline). Circulation 117:e350–e408CrossRefPubMedGoogle Scholar

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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