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Sick sinus syndrome in a patient with extensive cardiac lipomatosis (sinus node dysfunction in lipomatosis)
Ehud Kadmon1, Rami Paz, Jairo Kusniec
1Department of Cardiology, Rabin Medical Center, Beilinson Hospital, Petah Tikva, affiliated with the Sackler School of Medicine, Tel Aviv University, Petah Tikva, Israel. udikadmon@gmail.com
Abstract:
We present a case of a 45-year-old man with an incidental and longstanding diagnosis of extensive mediastinal and cardiac lipomatosis. Along the years, he had experienced various arrhythmias, mainly bradyarrhythmias, mostly asymptomatic. Recently after documenting a sinus pause of 6 seconds and runs of nonsustained ventricular tachycardias, he underwent an implantation of a cardioverter-defibrillator. There are many reports of cardiac lipomatosis in the literature, including reports of related ventricular arrhythmias, some of which are fatal. (PACE 2010; 513-515).
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