Abstract

547-5271/$ -see front matter © 2011 Heart Rhythm Society. All rights reserved fibrillation was evaluated for an abrupt syncope. Echocardiogram showed no abnormalities, and Holter monitoring showed sinus arrhythmia with right bundle branch block (RBBB) and signs of sick sinus syndrome due to significant pauses. A dual-chamber pacemaker was implanted without complications (ventricular electrode in the right ventricular apex and atrial electrode at the high right atrial appendage). Pacemaker settings were DDDR mode, basic rate 65 bpm, maximum sensor rate 110 bpm, maximum tracking rate 150 bpm, and dynamic AV interval of maximum 280/minimum

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