Abstract
A 73 year old woman with known ischaemic heart disease and ischaemic ventricular tachycardia underwent temporary dual chamber pacing as part of the treatment to suppress tachycardia. Insertion of a permanent dual chamber system seven days later was uncomplicated. Total atrial paralysis, with inability to pace the atrium or obtain an atrial electrocardiogram from four atrial sites, developed within 24 hours of the permanent system being implanted. Atrial electrical and mechanical function recovered over several weeks.
Full text
PDF

Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Belhassen B., Shapira I., Hammerman C. Unusual manifestations of arrhythmogenic right ventricular dysplasia as ventricular fibrillation, atrial paralysis, and hypoexcitable right ventricle. Br Heart J. 1988 Feb;59(2):263–265. doi: 10.1136/hrt.59.2.263. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Piérard L. A., Henrard L., Demoulin J. C. Persistent atrial standstill in familial Ebstein's anomaly. Br Heart J. 1985 Jun;53(6):594–597. doi: 10.1136/hrt.53.6.594. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ruff P., Leier C. V., Schaal S. F. Temporary atrial standstill. Am Heart J. 1979 Oct;98(4):413–420. doi: 10.1016/0002-8703(79)90245-x. [DOI] [PubMed] [Google Scholar]
- Stevenson W. G., Perloff J. K., Weiss J. N., Anderson T. L. Facioscapulohumeral muscular dystrophy: evidence for selective, genetic electrophysiologic cardiac involvement. J Am Coll Cardiol. 1990 Feb;15(2):292–299. doi: 10.1016/s0735-1097(10)80052-x. [DOI] [PubMed] [Google Scholar]
- Talwar K. K., Radhakrishnan S., Chopra P. Myocarditis manifesting as persistent atrial standstill. Int J Cardiol. 1988 Aug;20(2):283–286. doi: 10.1016/0167-5273(88)90275-6. [DOI] [PubMed] [Google Scholar]
- Tognarini S., Pardini E. Un caso di paralisi atriale durante impiego di flecainide acetato per via venosa. Cardiologia. 1989 Aug;34(8):725–729. [PubMed] [Google Scholar]
- Ward D. E., Ho S. Y., Shinebourne E. A. Familial atrial standstill and inexcitability in childhood. Am J Cardiol. 1984 Mar 15;53(7):965–967. doi: 10.1016/0002-9149(84)90540-x. [DOI] [PubMed] [Google Scholar]


