Dynamic Electrocardiography and Ventricular Pauses of 3 Seconds and More: Etiology and Therapeutic Implications
- 1 May 1983
- journal article
- Published by Wiley in Pacing and Clinical Electrophysiology
- Vol. 6 (3) , 548-551
- https://doi.org/10.1111/j.1540-8159.1983.tb05294.x
Abstract
A total of 2350 consecutive Holter recordings revealed that 53 patients had ventricular asystole of 3 seconds or more. The diagnoses based on the longest pauses were: sinus arrest in 19; AV block in 5; slow atrial fibrillation in 29. Symptoms occurred in 45 and were absent in 8 patients. Associated heart disease was present in only 33 cases. A pacemaker was implanted in 7 out of 8 asymptomatic patients. Ventricular asystole of 3 seconds or more is proposed as a definite indication for the implantation of a permanent pacemaker.Keywords
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