Pseudo-pacemaker syndrome in a young woman with first-degree atrio-ventricular block.
First-degree atrio-ventricular (AV) block is defined as a PR interval longer than 200 ms. If too long, it can become clinically relevant and may mimic a pacemaker syndrome. We report the case of a young woman with a long PR interval, probably congenital, with episodes of syncope and dizziness since childhood. Pseudo-pacemaker syndrome is rare and is a Class IIa recommendation for a pacemaker implantation. A dual-chamber pacemaker was implanted and short AV delay was programmed, with rapid clinical improvement.
Carroz
Patrice
P
Department of Cardiology, Centre Hospitalier du Centre du Valais (CHCVs), Hôpital de Sion, Avenue Grand-Champsec 80, 1950 Sion, Switzerland. patrice.carroz@chuv.ch
Delay
Dominique
D
Girod
Grégoire
G
D000328:Adult; D054537:Atrioventricular Block / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D002302:Cardiac Output; D002304:Cardiac Pacing, Artificial; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006801:Humans