A 10 year old girl with hypertrophic cardiomyopathy (HCM) developed high grade atrioventricular (A-V) block unexpectedly, which instantly led to syncope; she required a permanent pacemaker. High grade A-V block, a rare complication of HCM, relates closely to syncope or sudden death in this disease and if progressive the use of cardiac pacing should be considered without delay.

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The attitude of the population to other countries is considered, taking into account two tendencies last one and a half centuries: globalization, which based on economic processes with their interdependence individual players from each in international market, glocalization, as phenomenon “rebellious periphery” opposing dominant culture that refuses such an acculturation strategy. role mass inf...