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Dynamic Electrocardiography and Ventricular Pauses of 3 Seconds and More: Etiology and Therapeutic Implications
Author(s) -
ECTOR H.,
ROLIES L.,
GEEST H.
Publication year - 1983
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1983.tb05294.x
Subject(s) - medicine , asystole , cardiology , asymptomatic , electrocardiography , normal sinus rhythm , etiology , ventricular fibrillation , atrial fibrillation , anesthesia
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.