Sinus node dysfunction masquerading as complete atrioventricular block in the setting of atrial parasystole after heart transplantation

Sudheer R. Gorla, Kishore R. Raja, Mary C Sokoloski, Sethuraman Swaminathan

Research output: Contribution to journalArticle


Heart transplantation is the gold standard for treatment of end stage heart failure. Atrial parasystole (AP), defined as the presence of an additional dissociated atrial pacemaker on a surface electrocardiogram, has been described to be seen after heart transplantation using biatrial surgical technique. AP may pose a challenge in diagnosing underlying rhythm disturbances in these patients. Here, we report a rare phenomenon of junctional escape rhythm with sinus node dysfunction, mimicking as complete atrioventricular block due to the presence of an AP, in a heart transplant recipient.

Original languageEnglish (US)
JournalJournal of Electrocardiology
StatePublished - 2018


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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