DOI: 10.36347/SJMCR.2019.v07i12.010

Pages: 757-759

This is the case of a woman aged 55 years with no particular antecedent who presented with dyspnea of progressive onset occurring with effort associated with a sensation of lipothymia without other signs, such as fever, angina pectoris, and palpitations. The initial clinical examination found bradycardia with an irregular rhythm. Twelve-lead electrocardiogram documented bradycardia with atrial fibrillation equivalent to a high grade atrio-ventricular block. Transthoracic echocardiogram reveals bi-auricular dilatation without hypertrophy of ventricular cavities with preserved systolic function without Segregation disorder neither global nor presence of a significant valvulopathy. The patient benefitted from the installation of a pacemaker with significant improvement of the symptoms.