58- Onat A, Domaniç N, Onat T: Sick Sinus Syndrome in an Infant: Severe Disturbance of Impulse Formation and Conduction Involving the S-A Node and A-V Junctional Tissue. European Journal of Cardiology, 2: 79-83, 1974.

Hasta sinus sendromu yüzünden sol atrium'dan atılan tromboza bağlı serebral emboli ve sağ hemiparezi gösteren bir süt çocuğu kalp pili takılarak düzeltilmiş ve 18 aylık izleme sonuçları sunulmuştur.
Bu vak'a zamanına göre en küçük yaşta saptanmış ve kalp pili takılarak düzeltilmiş ilk vak'adır.

An infant with fainting spells due to severe chronic disturbance of impuls formation and conduction both in the SA node and AV junction was described. Persistent sinus bradycardia, prolonged sinus arrests with slow AV junctional escape rhythms, periods of SA blocks exceeding 4 seconds with failure of escape beats and partial AV block were recorded. Responses of tne SA node and the AV junction to iv atropine and isoproterenol were inadequate. The etiology was considered to be congenital. A follow up of 18 months not only suggested slow progression of the chronic conduction system disease, but the course was also complicated by a cerebral embolism with right hemiparesis, presumably due to thrombi formed in the left atrium.An endocardial bifocal demand pacemaker was implanted.


58- Anahtar kelimeler: Disritmi, kalp pili, hasta sinus düğümü, EKG.