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European Heart Journal 1985 6(3):261-265;
Copyright © 1985 by the European Society of Cardiology.
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© 1985 The European Society of Cardiology

Pre-operative sinus node function in adult patients with atrial septal defect (ostium secundum type)

G. BENEDINI, A. AFFATATO, M. BELLANDI, C. CUCCIA, L. NICCOLI, E. RENALDINI and O. VISIOLI

Cattedra di Cardiologia dell'Università degli Studi e Divisione di Cardiologia degli Spedali Civili Brescia, Italy

Received 18 September 1984; revised 5 December 1984; .

G. Benedini M.D., Divisione di Cardiologia, Spedali Civili, P. le Spedali Civili n. 1,25100, Brescia, Italy.

Abstract

The authors studied, pre-operatively, the sinus node function in adult patients with secundum atrial septal defect and large left-right shunts, using Holter ECG and electrophysiological tests.

Sinus node electrophysiological tests were found abnormal in 17 out of 26 patients; on the contrary, Holter monitoring was always within normal limits.

The authors believe that concealed sinus node dysfunction existing before surgical correction may be a cause of early, acute, and reversible, post-operative sick sinus syndrome.

Key Words: Sinus node dysfunction • atrial septal defect • Holter ECG • electrophysiological testing


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