Symptomatic Trifascicular Block in Steinert’s Disease: Is It Too Soon for a Pacemaker?

Symptomatic Trifascicular Block in Steinert's Disease: Is It Too Soon for a Pacemaker?

We report a case of a 62-year-old male with Steinert's disease who presented with progressive intermittent episodes of lightheadedness five years after he was diagnosed with the disease. On evaluation, he developed a new onset trifascicular block (first degree atrioventricular block, new onset right bundle branch block, and left anterior fascicular block). A dual chamber pacemaker was inserted ...

Response to: Comment on “Symptomatic Trifascicular Block in Steinert's Disease: Is It Too Soon for a Pacemaker?”

With interest we read the article by Lasam et al. about a 62yo male with genetically confirmed myotonic dystrophy type I (MD1) who developed a trifascicular block (AV-block I, left anterior hemiblock, and right bundle branch block) which manifested clinically as lightheadedness [1]. After implantation of a dual chamber pacemaker, lightheadedness improved. We have the following comments and conc...

Is it too soon to start reporting HER2 genetic heterogeneity?

No wonder you activities are, reading will be always needed. It is not only to fulfil the duties that you need to finish in deadline time. Reading will encourage your mind and thoughts. Of course, reading will greatly develop your experiences about everything. Reading is it too soon to start reporting her2 genetic heterogeneity letters the editor letter is also a way as one of the collective bo...

The Natural History of Trifascicular Disease Following Permanent Pacemaker Implantation

Seventy-two patients with trifascicular disease were followed for an average of40 months following permanent pacemaker insertion. The indications for pacemaker insertion were either electrocardiographic evidence of complete heart block with a wide QRS escape complex or a pattern of bifascicular block with either periods of Mobitz type II atrioventricular (A-V) block or a documented history of s...

No heroic measures: how soon is too soon to stop?