Fatal elective DDD-pacemaker implantation
نویسندگان
چکیده
A 76-year-old patient with a medical history of hypertension, type 2 diabetes mellitus and moderate valvular aortic stenosis underwent cephalic DDD pacemaker implantation because of fatigue and a 3rd degree atrioventricular block with a ventricular escape rhythm of 45 beats per minute. After implantation, he complained about stabbing chest pains. A chest radiograph did not reveal any signs of a pneumothorax and echocardiography showed normal left ventricular function and no pericardial effusion. Initial electrocardiography showed normal atrioventricular pacing with a premature atrial complex after every two beats and an expected left bundle branch block pattern. Analgesics were started.
منابع مشابه
Retrospective analysis of reasons for failure of DDD pacemaker implantation in patients operated on between 1993 and 2005.
BACKGROUND During implantation of a DDD pacemaker the following difficulties may be encountered: venous anomalies (the absence of vessels of adequate calibre or difficulty in subclavian vein puncture), arrhythmias during implantation (episodes of atrial flutter/fibrillation while the atrial leads are being positioned), lack of mechanical stability of the electrode in the heart chamber and inabi...
متن کامل[Does permanent cardiac stimulation through B - type natriuretic peptide secretion influence the basic parameters of renal function?].
UNLABELLED Aberrant waveform during artificial pacing increases secretion of natriuretic peptides, mainly B-type natriuretic peptide (BNP). The aim of the study was to investigate whether renal function is modified through increased BNP secretion during artificial pacing. MATERIAL AND METHODS A total of 117 patients with pacemaker implanted were included (pacing mode: AAI/R - 21, DDD/R - 59, ...
متن کاملComparative Study of Electrical Stimulation of the Heart with VDD and DDD Pacemakers as to the Evolution to Atrial Fibrillation
INTRODUCTION The pacemaker implantation VDD is considered simpler, faster, less expensive and causes fewer complications compared to DDD. However, the VDD pacemaker has not been widely used in many centers, perhaps for fear of dysfunction of the sinus node and the reduction of atrial sensitivity by the pacemaker during follow-up after implantation. OBJECTIVE To compare patients with DDD and V...
متن کاملWho Needs Physiologic Pacing and Why?
Various pacing technologies have been developed during the past 50 years since the first pacemaker was implanted in 1958. Dual-chamber pacing, rate responsiveness, programmable and rate-responsive atrioventricular (AV) intervals, alternative-site pa0cing, and new multichamber pacing devices are all attempts to mimic normal cardiac physiology as much as feasible. The categories of alternative-si...
متن کاملCost-effectiveness of dual-chamber pacemaker therapy: does single lead VDD pacing reduce treatment costs of atrioventricular block?
AIMS Implantation of single-lead VDD pacemakers is an established alternative to DDD pacing in patients with atrioventricular block. This study compares the long-term costs of both systems. METHODS AND RESULTS Three hundred and sixty patients with atrioventricular block received VDD or DDD pacemakers in alternating order. Primary costs of implantation included: devices, leads and operation ma...
متن کامل