OBJECTIVE The aim of this report was to discuss the type, timing, and surgical techniques of permanent pacemaker implantation in a juvenile patient. PATIENTS A 17-year-old girl with Down syndrome and congenital heart defects comprised of ventricular septal defects (VSD) and patent ductus arteriosus (PDA) suffered from postoperative complete atrioventricular block (AVB) when she was 7 months o...

OBJECTIVE To study the relationship between blood lead levels and cognitive abilities of children exposed to this metal. METHOD This is a cross-sectional study that included 134 children aged 6 to 8.5 years old from 3 schools with different risks of lead exposure located in El Callao (Peru). Cognitive assessments were made by means of the Graphic Test of Reasoning (GTR) and the Kohs Block Des...

Figure 1. (Panel A) 12-lead ECG depicting high degree right bundle branch block (see text for details). (Panel B) 12-lead ECG depicting the “Chiale” maneuver Right apical ventricular pacing during with timed A-V intervals in the fused QRS complexes. Black arrows show classic type 1 Brugada ECG pattern. Upon cessation of pacing, high-degree right bundle branch block reappears (white arrows). ECG...

Rhaetian strata from the Nayband Formation of the Tabas block, East- Central Iran, were studied palynologically. The materialexamined contained moderately diverse and well-preserved dinoflagellate cyst assemblages which lead to the identification ofRhaetogonyaulax rhaetica Zone. The assigned age of this dinozone (Rhaetian) is justified by plant fossils such as Equisetitesarenaceus, Scytophyllum...

UNLABELLED A 3-month-old male infant received transvenous temporary pacemaker for acquired complete atrioventricular block. However, a right ventricle perforation by the pacing lead was found incidentally when the patient was receiving permanent pacemaker implantation nineteen days after temporary pacing. There was no pacemaker dysfunction, active bleeding or hemopericardium. The temporary paci...

Pacemaker lead malposition in various locations has been described in the literature. Lead malposition in left ventricle is a rare and an underdiagnosed complication. We present a 77-year-old man with history of atrial fibrillation and pacemaker placement who was admitted for transient ischemic attack. He was on aspirin, beta blocker, and warfarin with subtherapeutic international normalized ra...

rhaetian strata from the nayband formation of the tabas block, east- central iran, were studied palynologically. the materialexamined contained moderately diverse and well-preserved dinoflagellate cyst assemblages which lead to the identification ofrhaetogonyaulax rhaetica zone. the assigned age of this dinozone (rhaetian) is justified by plant fossils such as equisetitesarenaceus, scytophyllum...