Abstract
Atrial standstill is a rare disorder usually seen in adults with extreme myocardial disease. Etiologies described in the literature have included muscular dystrophy, familial amyloidosis, and rarely myocarditis. These etiologies usually lead to permanent atrial slandslill and require ventricular pacing. We present a case of an 11‐year‐old black female who developed atrial standstill secondary to biopsy proven acute necrotizing myocarditis. Absence of atrial function was confirmed by surface electrocardiogram, echocardiogram, and an invasive electrophysiology study. Atrial function returned within 3 days of initiation of methyl‐prednisolone. In cases of atrial standstill due to myocarditis, a delay in the placement of a permanent pacemaker with or without a trial of methylprednisolone may prove beneficial.
Original language | English (US) |
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Pages (from-to) | 2196-2201 |
Number of pages | 6 |
Journal | Pacing and Clinical Electrophysiology |
Volume | 16 |
Issue number | 11 |
DOIs | |
State | Published - Nov 1993 |
Externally published | Yes |
Keywords
- atrial standstill
- child bradycardi
- myocarditis
- steroids
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine