A 67-year old women suffered multiple syncope episodes during a vacation trip. The emergency 12-lead electrocardiogram revealed a sinusrhythm, AV block I° and left bundle branch block. After admission to the base hospital, a Holter ECG system was implemented. The next morning, the woman collapsed unnoticed. By chance, she was found and stabilized by nurses. The Holter report showed a total AV block over 80 seconds without ventricular replacement rhythm. The patient recovered without neurological damage and got a pacemacer system (DDDR). To the best of our knowledge, this is the longest documented total AV block survived without clinical damage.Conclusion: 1. The emergency 12-lead electrocardiogram (Index ECG) has prognostic power. 2. It is absolutely necessary to integrate alert functions in Holter ECG systems to enable external help in case of threatening arrhythmias.
Keyphrases
- healthcare
- heart rate
- emergency department
- heart rate variability
- oxidative stress
- public health
- case report
- heart failure
- mental health
- pulmonary embolism
- left ventricular
- atrial fibrillation
- polycystic ovary syndrome
- type diabetes
- single cell
- pregnant women
- congenital heart disease
- skeletal muscle
- blood brain barrier