title: Symptomatic Trifascicular Block in Steinert's Disease: Is It Too Soon for a Pacemaker?
abstract: We report a case of a 62-year-old male with Steinert's disease who presented with progressive intermittent episodes of lightheadedness five years after he was diagnosed with the disease. On evaluation, he developed a new onset trifascicular block (first degree atrioventricular block, new onset right bundle branch block, and left anterior fascicular block). A dual chamber pacemaker was inserted and lightheadedness improved significantly.
authors.affiliation: Department of Internal Medicine, Overlook Medical Center, Summit, NJ 07901, USA.
authors.forename: Glenmore
authors.identifier: 0000-0002-7066-3374
authors.initials: G
authors.lastname: Lasam
authors.affiliation: Section of Cardiology, Overlook Medical Center, Summit, NJ 07901, USA.
authors.forename: Roberto
authors.initials: R
authors.lastname: Roberti
authors.affiliation: Department of Internal Medicine, Overlook Medical Center, Summit, NJ 07901, USA.
authors.forename: Gina
authors.initials: G
authors.lastname: LaCapra
authors.affiliation: Department of Internal Medicine, Overlook Medical Center, Summit, NJ 07901, USA.
authors.forename: Roberto
authors.initials: R
authors.lastname: Ramirez