Abstract
A 62-year-old woman came to our clinical attention 21 years ago for non-cardiac problems. The clinical evaluation disclosed a persistent idiopathic atrial standstill (PIAS) with mitral incompetence. The family screening documented a familial form of PIAS with three affected living relatives. During the follow-up, she developed a cerebral thrombo-embolic episode and, 12 years after the diagnosis, she underwent permanent electrical stimulation (VVIR). She is currently …
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