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Permanent Cardiac Pacing for Severe Pallid Breath-Holding Spells


Address for reprints: Alfredo Di Pino, M.D., Unità Operativa di Cardiologia Pediatrica, Ospedale S. Vincenzo, Contrada Sirina, 98039 Taormina Messina, Italy. Fax: 094252215; e-mail:


We report the case of an infant affected by frequent episodes of loss of consciousness with the clinical features of pallid breath-holding attacks. Prolonged asystole, up to 26 seconds, was demonstrated by Holter monitoring. The patient was treated with permanent pacemaker implantation, followed by complete symptom resolution during a 26-month follow-up.