RT Journal Article SR Electronic T1 Total atrial paralysis after permanent dual chamber cardiac pacing. JF British Heart Journal JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 191 OP 192 DO 10.1136/hrt.69.2.191 VO 69 IS 2 A1 Simpson, I A A1 Jones, S A1 Camm, A J YR 1993 UL http://heart.bmj.com/content/69/2/191.abstract AB A 73 year old woman with known ischaemic heart disease and ischaemic ventricular tachycardia underwent temporary dual chamber pacing as part of the treatment to suppress tachycardia. Insertion of a permanent dual chamber system seven days later was uncomplicated. Total atrial paralysis, with inability to pace the atrium or obtain an atrial electrocardiogram from four atrial sites, developed within 24 hours of the permanent system being implanted. Atrial electrical and mechanical function recovered over several weeks.