title: [A rest or arrest--asystolic episodes of 7 seconds in a 22-year-old athlete].
abstract: A 22-year-old athlete with nocturnal asymptomatic episodes of transient sinus arrest/sinoatrial block up to 7.3 s and recurrent inappropriate sinus tachycardias which had been incidentally found during Holter electrocardiography diagnostics is presented. In spite of extensive diagnostic work-up including invasive procedures like coronary angiography and electrophysiological study, no causal etiology was found. Based on the normal findings and the lack of symptoms, we decided not to implant a permanent pacemaker. After 14 months, the patient is still asymptomatic. Howerver, the 24-h Holter electrocardiography shows unchanged frequency of nocturnal transient sinus arrest episodes.
authors: Medizinische Klinik und Poliklinik I, Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern, Marchioninistraße 15,Munich, Germany. johannes.siebermair@med.uni-muenchen.de
authors: J
authors: J
authors: Siebermair
authors: T
authors: T
authors: Pohl
authors: R
authors: R
authors: Wakili
authors: F
authors: F
authors: Schüssler
authors: P
authors: P
authors: Lange
authors: E
authors: E
authors: Martens
authors: B M
authors: BM
authors: Beckmann
authors: M F
authors: MF
authors: Sinner
authors: P
authors: P
authors: Steinbigler
authors: G
authors: G
authors: Steinbeck
authors: S
authors: S
authors: Kääb
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D015716:Electrocardiography, Ambulatory / Q000379:methods*; D006801:Humans; D008297:Male; D012848:Sinoatrial Block / Q000145:classification* / Q000175:diagnosis*