A case of pacemaker "malfunction": Should I intervene?

被引:0
|
作者
Yeo, Colin [1 ]
Ainslie, Mark [1 ]
Birnie, David H. [1 ]
Green, Martin [1 ]
机构
[1] Univ Ottawa, Heart Inst, Div Cardiol, Arrhythmia Serv, 40 Ruskin Ave, Ottawa, ON, Canada
关键词
Lead reversal; Pacemaker implantation complication; SINUS-NODE DISEASE;
D O I
10.1016/j.jelectrocard.2017.04.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 72 year old gentleman presented to us for sinus node dysfunction and was accepted for pacemaker implantation. He had significant history of paroxysmal atrial fibrillation (PAF) and typical atrial flutter. Physical examination was unremarkable. Echocardiography demonstrated normal left ventricular ejection fraction and moderate biatrial dilatation. He underwent an uneventful implantation for a dual chamber permanent pacemaker (PPM). The procedure was uncomplicated and lead parameters were normal. Post implant chest X ray showed stable leads positions. Fig. 1 shows the post implant 12 lead ECG. What is the likely diagnosis?
引用
收藏
页码:701 / 703
页数:3
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