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Atrial standstill presenting as cerebral infarction in a 7-year-old girl

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@article{1acfb4db126d4d21b5f75c25d1439d5a,
title = "Atrial standstill presenting as cerebral infarction in a 7-year-old girl",
abstract = "Atrial standstill is a rare arrhythmia defined by the absence of mechanical and electrical activity in the atria. Few cases of atrial standstill have been described in children, none of which have presented with cerebral infarction confirmed by imaging. We report a unique case of a 7-year-old girl presenting with expressive aphasia, central facial palsy and irregular pulse with cerebral infarction secondary to atrial standstill. This case illustrates that cardiogenic cerebral embolism in children can be caused by rare conditions like atrial standstill and should be considered in paediatric patients undergoing evaluation for stroke. There are no established treatment guidelines for atrial standstill. We recommend that treatment be directed towards any potential underlying cause. All patients with atrial standstill should receive long-term oral anticoagulation treatment and a permanent cardiac pacemaker implant to reduce the risk of further strokes or other cardiac events.",
author = "Ahnfeldt, {Agnethe May} and {de Knegt}, {Victoria Elizabeth} and Reimers, {Jesper Irving} and B{\o}rresen, {Malene Landbo}",
year = "2019",
month = "2",
day = "4",
doi = "10.1177/2050313X19827735",
language = "English",
volume = "7",
journal = "SAGE Open Medical Case Reports",
issn = "2050-313X",
publisher = "SAGE Publications Ltd",

}

RIS

TY - JOUR

T1 - Atrial standstill presenting as cerebral infarction in a 7-year-old girl

AU - Ahnfeldt, Agnethe May

AU - de Knegt, Victoria Elizabeth

AU - Reimers, Jesper Irving

AU - Børresen, Malene Landbo

PY - 2019/2/4

Y1 - 2019/2/4

N2 - Atrial standstill is a rare arrhythmia defined by the absence of mechanical and electrical activity in the atria. Few cases of atrial standstill have been described in children, none of which have presented with cerebral infarction confirmed by imaging. We report a unique case of a 7-year-old girl presenting with expressive aphasia, central facial palsy and irregular pulse with cerebral infarction secondary to atrial standstill. This case illustrates that cardiogenic cerebral embolism in children can be caused by rare conditions like atrial standstill and should be considered in paediatric patients undergoing evaluation for stroke. There are no established treatment guidelines for atrial standstill. We recommend that treatment be directed towards any potential underlying cause. All patients with atrial standstill should receive long-term oral anticoagulation treatment and a permanent cardiac pacemaker implant to reduce the risk of further strokes or other cardiac events.

AB - Atrial standstill is a rare arrhythmia defined by the absence of mechanical and electrical activity in the atria. Few cases of atrial standstill have been described in children, none of which have presented with cerebral infarction confirmed by imaging. We report a unique case of a 7-year-old girl presenting with expressive aphasia, central facial palsy and irregular pulse with cerebral infarction secondary to atrial standstill. This case illustrates that cardiogenic cerebral embolism in children can be caused by rare conditions like atrial standstill and should be considered in paediatric patients undergoing evaluation for stroke. There are no established treatment guidelines for atrial standstill. We recommend that treatment be directed towards any potential underlying cause. All patients with atrial standstill should receive long-term oral anticoagulation treatment and a permanent cardiac pacemaker implant to reduce the risk of further strokes or other cardiac events.

U2 - 10.1177/2050313X19827735

DO - 10.1177/2050313X19827735

M3 - Journal article

VL - 7

JO - SAGE Open Medical Case Reports

JF - SAGE Open Medical Case Reports

SN - 2050-313X

ER -

ID: 56780098