Persistent sinus node suppression caused by thrombotic occlusion of an arteriovenous fistula: A report of two cases Henry D. Huang, MD, Jonathan W. Waks,

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Persistent sinus node suppression caused by thrombotic occlusion of an arteriovenous fistula: A report of two cases Henry D. Huang, MD, Jonathan W. Waks, MD, Mark E. Josephson, MD, Peter Zimetbaum, MD HeartRhythm Case Reports Volume 1, Issue 4, Pages 190-192 (July 2015) DOI: 10.1016/j.hrcr.2015.02.004 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 Picture of arteriovenous fistula site following thrombotic occlusion for patient in case 1. HeartRhythm Case Reports 2015 1, 190-192DOI: (10.1016/j.hrcr.2015.02.004) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 A: The bradycardia for the patient in case 1 is secondary to sinus node dysfunction. Following administration of 1 mg intravenous atropine there is transient return of sinus rhythm before reversion back to junctional rhythm. B: Slow junctional rhythm at time of syncope in case 2. HeartRhythm Case Reports 2015 1, 190-192DOI: (10.1016/j.hrcr.2015.02.004) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 3 Case 1: Balloon angioplasty performed (A and B), restoring patency of the patient’s occluded arteriovenous fistula (C). HeartRhythm Case Reports 2015 1, 190-192DOI: (10.1016/j.hrcr.2015.02.004) Copyright © 2015 Heart Rhythm Society Terms and Conditions