Abstract:In patients with sick sinus syndrome, and previously implanted dual-chamber pacemaker, the occurrence of atrial fibrillation finally assessed as permanent is most commonly regarded as a natural course of the disease. The inappropriate heart rate control and right ventricular pacing can both negatively influence left ventricle mechanical performance leading to cardiomyopathy and heart failure.It was presented the case of a 72-year-old woman with permanent atrial fibrillation with narrow QRS complex, after dual-… Show more
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