Huang WA, Woo JP, Boyle NG. The Rogue P-wave: Atrial Dissociation Following Bicaval Heart Transplantation.
J Innov Card Rhythm Manag 2019;
10:3472-3475. [PMID:
32494402 PMCID:
PMC7252805 DOI:
10.19102/icrm.2019.100106]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Accepted: 06/25/2017] [Indexed: 11/10/2022] Open
Abstract
We report the first case, to our knowledge, of atrial dissociation in a patient who underwent bicaval orthotopic heart transplantation. It was believed that atrioventricular dissociation prompting pacemaker implantation likely represented donor sinus bradycardia/arrest with intact atrioventricular conduction with surgically isolated recipient atrial activity.
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