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분야 : 의약학 > 내과학
발행기관 : 대한내과학회
간행물정보 : 대한내과학회 추계학술발표논문집, 2011 pp.~0 (총 1pages)
 
 
영문초록
A 35-year-old male patient with heart and renal failure and pneumonia was transferred to our department due to recurrent cardiac standstill with seizure-like activity. He had been diagnosed as and treated for MELAS syndrome since 3 years ago. His electrocardiography (ECG) showed Wolff-Parkinson-White (WPW) pattern, and an echocardiogram showed hypertrophic cardiomyopathy (HCM). He developed seizure-like activities intermittently and ECG monitoring showed intermittent bradycardia. His Holter monitoring showed several episodes of 5 to 16 seconds of sinus arrest. We performed electrophysiologic study for evaluation of his arrhythmia. During atrial and ventricular extrastimuli, cardiac standstill has developed several times and the duration of pauses varied from 2.5 to 3.2 seconds. Abrupt asystolic events have also developed accompanying seizure-like activities which were not related to extrastimuli. We decided to implant a permanent pacemaker. After the implantation of DDD type pacemaker, the patient`s seizure-like activity disappeared.
 
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