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PMC5420039_02
This electroencephalogram (EEG) tracing demonstrates an episode of complete heart block (arrows) presumably related to dysautonomia. There was no seizure activity documented on the EEG when the patient was symptomatic.
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A collapse in hospital during electroencephalogram monitoring demonstrated a 7-second episode of complete heart block (Figure 1); this was also evident on the loop recorder.
Chest radiograph shows Biotronik Closed Loop Stimulation system, implanted in the axilla.
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A Select Secure 69-cm atrial lead was placed and the existing pacemaker was upgraded to an Epyra DR-T (Biotronik GmbH & Co) (Figure 2).