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KMID : 0882420100780010109
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Korean Journal of Medicine
2010 Volume.78 No. 1 p.109 ~ p.112
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Atrial standstill treated with implantation of permanent pacemaker
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Cho Jung-Hyun
Ahn Yeon-Jeong
Yun Seong-Eun
Jeong Young-Hoon
Choi Bong-Ryong
Hwang Jin-Yong
Kwak Choong-Hwan
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Abstract
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Persistent atrial standstill is an extremely rare arrhythmia that was first described by Chavez et al. Electrocardiographically, atrialstandstill is characterized by bradycardia, the absence of a P wave, and a junctional narrow complex escape rhythm. Atrial standstill is usually classified into two types. The transient type is observed in drug intoxication, such as with digitalis or quinidine, and hyperkalemia. The persistent type is uncommon, often accompanied by syncopal attacks or brain embolism. We report a case of persistent atrial standstill in an 83-year-old man who was treated with implantation of a permanent pacemaker. (Korean J Med 78:109-112, 2010)
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KEYWORD
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Atrial standstill, Pacemaker
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