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“Ventricular Standstill for 20 Seconds in Complete Heart Block” - An Uncommon Sight

Vikas Singh, Pramod Kumar and Ajay Kr Sinha

A 60 year female with no baseline changes on the electro- or echocardiography; was sent to us after the Holter recording showed intermittent complete heart block with R-R interval measuring upto 20 seconds. The patient underwent temporary followed by permanent pacemaker implantation. To our knowledge, this is the longest period of ventricular standstill recorded on holter.