| CASE REPORT |
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| Year : 2014 | Volume
: 6
| Issue : 4 | Page : 178-180 |
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Ventricular standstill: An uncommon electrophysiological abnormality caused by profound vagal tone
Shikha Jaiswal, Adrian Pedro Noriega Aldave, Kenneth J Wool
Department of Internal Medicine, Cardiology and Nuclear Cardiology, University of Alabama at Birmingham Health Center Montgomery, Montgomery, Alabama 36116, USA
Correspondence Address:
Shikha Jaiswal
2055, East S Blvd, Suite 200, Montgomery, Alabama - 36116
USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1947-2714.131245
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Context : Ventricular standstill (VS) is an uncommon electrophysiological phenomenon and usually manifests as syncope. Rarely has a case been reported where the patient has been totally asymptomatic, and it has resolved spontaneously. Case Report : We report a case of complete VS and high-degree atrioventricular (AV) block in a 50-year-old female, who was admitted for nausea, vomiting, and chest pain. The patient never had a syncopal episode, even though she was in VS for more than 10 s. Conclusion : Such degree of conduction abnormality without any syncope has not been reported so far. Her electrophysiological abnormality was attributed to profound vagotonic effect and was treated with a permanent pacemaker. |
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