Atrial standstill in the newborn: a case report
Introduction. Persistent atrial standstill is a rare syndrome characterized by absence of mechanical and electrical atrial activity. The article presents a unique case of atrial standstill in the newborn patient with tachyarrhythmia.Brief description. The first manifestation of atrial standstill in...
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«FIRMA «SILICEA» LLC
2021-08-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/4419 |
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| author | O. Yu. Dzhaffarova I. V. Plotnikova L. I. Svintsova |
| author_facet | O. Yu. Dzhaffarova I. V. Plotnikova L. I. Svintsova |
| author_sort | O. Yu. Dzhaffarova |
| collection | DOAJ |
| description | Introduction. Persistent atrial standstill is a rare syndrome characterized by absence of mechanical and electrical atrial activity. The article presents a unique case of atrial standstill in the newborn patient with tachyarrhythmia.Brief description. The first manifestation of atrial standstill in the patient was heart failure (HF) manifestations and wide-complex tachycardia according to electrocardiography, which was identified as ventricular tachycardia. At the local outpatient clinic, the child was prescribed with antiarrhythmic therapy (AAT), which decreased heart rate. Three months later, a transesophageal electrophysiological study was carried out in our center in order to determine the arrhythmia origin. A multiform idioventricular rhythm with a heart rate of 46-119 beats per min was diagnosed, atrial pacing spike (A waves) was not recorded. Given bradyarrhythmia, hemodynamic abnormalities on echocardiography (significant atrial enlargement, decreased contractility), the patient, in order to prevent the risk of sudden cardiac death, underwent implantation of single chamber pacemaker in VVIR mode and bipolar ventricular lead. Anticoagulant therapy was prescribed. After 6-month follow-up, relief of HF symptoms and an increase in left ventricular contractile function was noted.Discussion. Timely diagnosis and implantation of pacemakers allowed avoiding AAT and minimizing the HF symptoms. Continuous ventricular pacing and anticoagulant therapy are important in HF prevention. |
| format | Article |
| id | doaj-art-11b0f2e87b144fa3a36afc19bf46cc6f |
| institution | Kabale University |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2021-08-01 |
| publisher | «FIRMA «SILICEA» LLC |
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| series | Российский кардиологический журнал |
| spelling | doaj-art-11b0f2e87b144fa3a36afc19bf46cc6f2025-08-20T03:57:22Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-08-0126710.15829/1560-4071-2021-44193300Atrial standstill in the newborn: a case reportO. Yu. Dzhaffarova0I. V. Plotnikova1L. I. Svintsova2Cardiology Research Institute, Tomsk National Research Medical CenterCardiology Research Institute, Tomsk National Research Medical CenterCardiology Research Institute, Tomsk National Research Medical CenterIntroduction. Persistent atrial standstill is a rare syndrome characterized by absence of mechanical and electrical atrial activity. The article presents a unique case of atrial standstill in the newborn patient with tachyarrhythmia.Brief description. The first manifestation of atrial standstill in the patient was heart failure (HF) manifestations and wide-complex tachycardia according to electrocardiography, which was identified as ventricular tachycardia. At the local outpatient clinic, the child was prescribed with antiarrhythmic therapy (AAT), which decreased heart rate. Three months later, a transesophageal electrophysiological study was carried out in our center in order to determine the arrhythmia origin. A multiform idioventricular rhythm with a heart rate of 46-119 beats per min was diagnosed, atrial pacing spike (A waves) was not recorded. Given bradyarrhythmia, hemodynamic abnormalities on echocardiography (significant atrial enlargement, decreased contractility), the patient, in order to prevent the risk of sudden cardiac death, underwent implantation of single chamber pacemaker in VVIR mode and bipolar ventricular lead. Anticoagulant therapy was prescribed. After 6-month follow-up, relief of HF symptoms and an increase in left ventricular contractile function was noted.Discussion. Timely diagnosis and implantation of pacemakers allowed avoiding AAT and minimizing the HF symptoms. Continuous ventricular pacing and anticoagulant therapy are important in HF prevention.https://russjcardiol.elpub.ru/jour/article/view/4419atrial standstillchildrencardiac pacing |
| spellingShingle | O. Yu. Dzhaffarova I. V. Plotnikova L. I. Svintsova Atrial standstill in the newborn: a case report Российский кардиологический журнал atrial standstill children cardiac pacing |
| title | Atrial standstill in the newborn: a case report |
| title_full | Atrial standstill in the newborn: a case report |
| title_fullStr | Atrial standstill in the newborn: a case report |
| title_full_unstemmed | Atrial standstill in the newborn: a case report |
| title_short | Atrial standstill in the newborn: a case report |
| title_sort | atrial standstill in the newborn a case report |
| topic | atrial standstill children cardiac pacing |
| url | https://russjcardiol.elpub.ru/jour/article/view/4419 |
| work_keys_str_mv | AT oyudzhaffarova atrialstandstillinthenewbornacasereport AT ivplotnikova atrialstandstillinthenewbornacasereport AT lisvintsova atrialstandstillinthenewbornacasereport |