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본 증례는 가족력 및 다른 특이 질환이 없는 환자에서 발생한 지속성 atrial standstill을 영구적 인공 심박동기를 시술하여 치료하였기에 이제까지 국내에서는 증례보고가 없는 바 문헌고찰과 더불어 보고하는 바이다.


Persistent atrial standstill is an extremely rare arrhythmia that was first described by Chavez et al. Electrocardiographically, atrial standstill is characterized by bradycardia, the absence of a P wave, and a junctional narrow complex escape rhythm. Atrial standstill is usually classified into two types. The transient type is observed in drug intoxication, such as with digitalis or quinidine, and hyperkalemia. The persistent type is uncommon, often accompanied by syncopal attacks or brain embolism. We report a case of persistent atrial standstill in an 83-year-old man who was treated with implantation of a permanent pacemaker.