Síndrome de Bayés y Síndrome de taquicardia-bradicardia: ¿consecuencia de la miocardiopatía auricular? Reporte de caso.

Abstract

Background: The Bayes Syndrome and tachycardia-bradycardia Syndrome are different entities that present the same mechanism pathogenic, atrial myocardiopathy. There are several structural and electric abnormalities in this pathology described recently, having the fibrosis as the final event. Case description: Describes the case of an elderly patient with syncope, sinus bradycardia and advanced interatrial block in the baseline electrocardiogram. A 24 hours Holter was capable to demonstrate the presence of atrial fibrillation paroxistic with significant ventricular pauses in the finished of arrhythmic episodes. The dual-chamber pacemaker implant allowed to control the symptom properly. Conclusion: The knowledge of the pathologic mechanism, etiology and clinic of each pathology can contribute for an optimum and prompt diagnostic and thus give a suitable treatment preventing the morbimortality of Bayes Syndrome, tachycardia-bradycardia Syndrome as consequence of atrial myocardiopathy.