PMC8683484_01
bilateral ptosis
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F1
Clinical findings: the clinical assessment found a bilateral ptosis (Figure 1), normal cardiac auscultation, and normal neurological assessment.
electrocardiogram of complete atrioventricular block
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F2
The Electrocardiogram (ECG) revealed a 3rd -degree atrioventricular block with an average ventricular rate at 30 b/min (Figure 2).
ophthalmological exam, pigmentary retinopathy
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F3
As part of the etiological assessment of the Atrioventricular Block (AVB) and in the presence of bilateral ptosis, an ophthalmological assessment was carried, showing pigmentary retinopathy (Figure 3).
electrocardiogram and chest X-ray following pacemaker implantation, electro entrained rhythm
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F4
Therapeutic intervention and follow up: the patient underwent successful implantation of a double chamber pacemaker within 24 hours of admission, with an uneventful postoperative course (Figure 4).