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Atrial standstill: a rare case.

Ahmad Yaminisharif¹, Akbar Shafiee, Mohammad Sahebjam

¹Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

The Journal of Tehran Heart Center

|October 18, 2012

Summary

This case study presents a rare diagnosis of idiopathic, familial, diffuse, persistent atrial standstill. The patient successfully received a permanent pacemaker for this rare heart rhythm disorder.

Keywords:

Arrhythmia Bradycardia Pacemaker artificial cardiac

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Area of Science:

Cardiology
Electrophysiology
Genetics

Background:

Idiopathic, familial, diffuse, persistent atrial standstill is a rare arrhythmogenic condition.
Characterized by absence of atrial electrical and mechanical activity.
Often presents with non-specific symptoms like dizziness and headache.

Observation:

A 32-year-old man presented with two months of unexplained dizziness and headache.
Electrocardiogram (ECG) revealed findings prompting referral to a specialized center.
Diagnostic workup confirmed the rare diagnosis.

Findings:

Diagnosis of idiopathic, familial, diffuse, persistent atrial standstill confirmed.
This condition represents a significant challenge in cardiac rhythm management.
Successful management with a single-chamber permanent pacemaker was achieved.

Implications:

Highlights the importance of considering rare channelopathies in unexplained arrhythmias.
Demonstrates the efficacy of pacemaker implantation for managing persistent atrial standstill.
Further research into the genetic basis and long-term outcomes of this condition is warranted.