title: Stroke complicating congenital sick sinus syndrome.
abstract: We report the case of a patient with congenital sick sinus syndrome complicated by atrial fibrillation and embolic stroke 23 years after the initial diagnosis, at the age of 34 years. Treatment with a dual-chamber pacemaker and oral anticoagulation were initiated; further follow-up was uneventful but pacemaker diagnostics constantly documented asymptomatic recurrences of paroxysmal atrial fibrillation.
authors.affiliation: Department of Medicine, Division of Cardiology/Clinical Electrophysiology, J.W. Goethe University Hospital, Frankfurt, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Lehmann
authors.forename: G
authors.initials: G
authors.lastname: Groenefeld
authors.forename: C W
authors.initials: CW
authors.lastname: Israel
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications / Q000517:prevention & control*; D002304:Cardiac Pacing, Artificial; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D012804:Sick Sinus Syndrome / Q000150:complications* / Q000628:therapy*; D020521:Stroke / Q000150:complications* / Q000628:therapy*; D014859:Warfarin / Q000627:therapeutic use*
chemical_list: D014859:Warfarin