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Complete paroxysmal atrioventricular block in a 2-year-old girl

Published online by Cambridge University Press:  27 November 2014

Line M. Holst*
Affiliation:
Department of Paediatrics, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark
Ulrik Dixen
Affiliation:
Department of Cardiology, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark
Dorthe L. Jeppesen
Affiliation:
Department of Paediatrics, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark
*
Correspondence to: Dr L. M. Holst, MD, Department of Paediatric, Copenhagen University Hospital Hvidovre, Kettegårds Alle 30, 2650 Hvidovre, Denmark. Tel: +45 21435921; Fax: +45 38623770; E-mail: drholst@hotmail.com

Abstract

We present a case of atypical syncope in a 2-year-old, otherwise healthy girl. The patient presented with three episodes of syncope without any precipitating factors and no family history of sudden unexpected death. Holter monitoring revealed 24 events of complete atrioventricular block lasting up to 6 seconds. A normal 12-lead electrocardiogram does not necessarily exclude cardiac disease, and Holter monitoring is warranted in children with atypical syncope.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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