Hemodynamic instability after pulmonary veins isolation in a patient with dual chamber pacemaker

Hemodynamic instability after pulmonary veins isolation in a patient with dual chamber pacemaker

INTRODUCTION The standard treatment of sinus node dysfunction (SND) is the pacemaker implantation, and the ideal methodology for the management of atrial fibrillation (AF) is rhythm control, but this is sometimes very hard to accomplish. For such actions, complete isolation of all pulmonary veins (PVI) is currently widely accepted as the best endpoint. CASE PRESENTATION In this case, we repor...

Contralateral Pneumothorax after the Implantation of a Dual Chamber Pacemaker

Syncope in a patient with a dual-chamber pacemaker: What is the possible mechanism?

A 90-year-old woman with hypertension and a history of a dual-chamber, rate-modulated (DDDR) pacemaker implantation 9 years previously presented to the hospital with complaints of syncope, moderate shortness of breath, and a headache. She denied any other symptoms. Her vital signs were as follows: blood pressure, 110/80 mmHg; pulse, 35 beats/min (bpm); and respiratory rate, 18 breaths/min. One ...

Wide complex tachycardia in a patient with a dual chamber pacemaker.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . doi:10.1093/europace/eun312 Online publish-ahead-of...

Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker

Having a pacemaker has been seen an absolute contraindication to having an MRI scan. This has become increasingly difficult in clinical practice as insertion of pacemakers and implantable cardiac defibrillators is at an all time high. Here we outline a case where a 71-year-old male patient with a permanent pacemaker needed to have an MRI scan to ascertain the aetiology of his condition and help...