Marked First-Degree Atrioventricular Block and Pseudo-Pacemaker Syndrome in a Pediatric Patient
- 133 Downloads
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.
KeywordsHeart 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.
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 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.
- 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
- 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