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Case Reports in Cardiology
Volume 2016 (2016), Article ID 6372181, 4 pages
Case Report

Symptomatic Trifascicular Block in Steinert’s Disease: Is It Too Soon for a Pacemaker?

1Department of Internal Medicine, Overlook Medical Center, Summit, NJ 07901, USA
2Section of Cardiology, Overlook Medical Center, Summit, NJ 07901, USA

Received 22 November 2015; Revised 30 January 2016; Accepted 4 February 2016

Academic Editor: Kjell Nikus

Copyright © 2016 Glenmore Lasam et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a case of a 62-year-old male with Steinert’s disease who presented with progressive intermittent episodes of lightheadedness five years after he was diagnosed with the disease. On evaluation, he developed a new onset trifascicular block (first degree atrioventricular block, new onset right bundle branch block, and left anterior fascicular block). A dual chamber pacemaker was inserted and lightheadedness improved significantly.