scholarly journals Third‐degree atrioventricular block and pacemaker implantation in a man with severe hemophilia A: A case report

2021 ◽  
Vol 37 (2) ◽  
pp. 460-461
Author(s):  
Ricardo Mesquita Camelo ◽  
Bruna Pontes Duarte ◽  
Antônio Macedo do Nascimento ◽  
Ana Maria Vanderlei
Keyword(s):  
Case Report ◽  
Atrioventricular Block ◽  
Hemophilia A ◽  
Pacemaker Implantation ◽  
Severe Hemophilia ◽  
Third Degree Atrioventricular Block

MARKED FIRST-DEGREE ATRIOVENTRICULAR BLOCK ASSOCIATED WITH PSEUDO-PACEMAKER SYNDROME: A CASE REPORT

2019 ◽  
pp. 199-206
Author(s):  
О. З. Скакун ◽  
С. В. Федоров ◽  
О. С. Вербовська ◽  
І. З. Твердохліб
Keyword(s):  
Case Report ◽  
Atrioventricular Block ◽  
Heart Block ◽  
Pacemaker Implantation ◽  
Rare Condition ◽  
Permanent Pacemaker ◽  
Type I ◽  
Atrial Contraction ◽  
General Weakness ◽  
Pacemaker Syndrome

Distinctive atrioventricular type I heart block is diagnosed when the PQ interval is 0.30 s. or more. Prolongation of the PQ interval more than 0.50 s. is a very rare condition. Usually it is associated with a pseudo-pacemaker syndrome. The last one manifests itself with dizziness, syncope, general weakness, shortness of breath upon physical exertion, cough, seizures, cold sweat, a feeling of pulsation in the head, neck and abdomen, a headache, paroxysmal nocturnal dyspnea, swelling of the lower extremities, tachypnea and jugular venous pulsation. The P wave appears immediately after the previous QRS complex. Atrial contraction occurs at the moment when the ventricles don’t relax after the previous contraction; due to the fact that pressure in the ventricles at this moment is higher than in the atria, the tricuspid and mitral valves remains closed. During the atrial contraction, most of the blood is ejected not into the ventricles, but backward into the pulmonary veins from the left atrium and into the venae cavae from the right atrium. Also, an atrial kick is absent which results in a less ventricular filling. There is increased pressure in the atria leading to their distension and excessive secretion of the atrial natriuretic peptide. A case report of the distinctive atrioventricular type I heart block associated with the pseudo-pacemaker syndrome is described. The patient suffered from a pre-syncope, short-term dizziness during the previous two days, tinnitus, general weakness, feeling of pulsation in the abdomen, neck, head, which interfered with his sleep. He developed these complaints after an infectious disease, which manifested as a runny nose and sore throat. In this patient, an extremely prolonged PQ interval up to 0.70 s. was observed. Also, episodes of Mobitz I and Mobitz type II atrioventricular block were detected. During the monitoring of patient state, the interval PQ was gradually shortening, and in 1 month it reached the normаl duration. It can be assumed that in the case of distinctive atrioventricular type I heart block, a significant prolongation of the refractory period in the rapid pathways of the AV-node plays a key role in the pathogenesis of this condition. According to the recommendations of the ACC/AHA (1998), for patients with distinctive atrioventricular type I heart block accompanied by the pseudo-pacemaker syndrome and documented alleviation of symptoms with temporary AV pacing, the pacemaker implantation should be considered (IIaB). The implantation of dual chamber pacemaker may reduce symptoms and lead to an improvement in the functional state of patients, in whom shortening of the interval between atrial and ventricular contractions improves hemodynamics. For asymptomatic patients with the PQ interval of ≥ 0.30 s, pacemaker is not recommended. The distinctive atrioventricular type I heart block in patients with pseudo-pacemaker syndrome is a rare condition and often remains undiagnosed. But it may have a benign course with a gradual normalization of the PQ interval. Indications for permanent pacemaker implantation should be reviewed as this block may be completely reversible. A permanent pacemaker may be used in the case of absence of positive dynamics in a shortening of the PQ interval.    

scholarly journals Dopamine and epinephrine for managing complete atrioventricular block due to nonreperfused acute inferior wall myocardial infarction in a rural hospital: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2199611
Author(s):  
Evelyne Sandjojo ◽  
Vanessa AMC Jaury ◽  
Yufi K Astari ◽  
Mahendria Sukmana ◽  
Rizky A Haeruman ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Atrioventricular Block ◽  
Pacemaker Implantation ◽  
Uncontrolled Hypertension ◽  
Definitive Treatment ◽  
Inferior Wall ◽  
Complete Atrioventricular Block ◽  
History Of ◽  
Complete Atrioventricular

Inferior wall myocardial infarction occurs in approximately 50% of all myocardial infarctions. The most common conduction disorder of this disease is complete atrioventricular block. Immediate attention must be given to the myocardial infarction patients with conduction block due to the increased mortality rate in these patients. Temporary pacemaker implantation and permanent pacemaker implantation are recommended in complete atrioventricular block cases that do not improve with reperfusion. In this case report, a 64-year-old-female patient came to the emergency department of a rural General Hospital with complaints of epigastric pain, dizziness, nausea, and vomiting for 2 days before admission. She had uncontrolled hypertension without a history of diabetes mellitus, dyslipidemia, smoking, or a family history of heart disease. The electrocardiogram displayed an acute inferior wall myocardial infarction and complete atrioventricular block with escape junctional rhythm with a heart rate of 17 bpm. She was diagnosed with nonreperfused inferior wall myocardial infarction and a complete atrioventricular block. She was successfully treated with only dopamine and epinephrine as the definitive treatment because the patient refused to be referred to a tertiary hospital for percutaneous coronary intervention and pacemaker implantation due to financial reasons. Dopamine and epinephrine may be considered for complete atrioventricular block if transfer to a higher level of care is not feasible and as bridge therapy while waiting for transfer.

scholarly journals The anesthetic approach for thyroid medullary carcinoma patient with severe hemophilia a diagnosis: Case report

2015 ◽  
Author(s):  
Serdar Demirgan ◽  
Başak Kutluyurdu ◽  
Abdullah Tolga Şitilci ◽  
Mehmet Salih Sevdi ◽  
Tolga Totoz ◽  
...  
Keyword(s):  
Case Report ◽  
Hemophilia A ◽  
Medullary Carcinoma ◽  
Severe Hemophilia ◽  
Thyroid Medullary Carcinoma ◽  
Carcinoma Patient

Pulpotomy management using laser diode in pediatric patient with severe hemophilia A under general anesthesia-A case report

2018 ◽  
Vol 38 (3) ◽  
pp. 155-159
Author(s):  
Vo Truong Nhu Ngoc ◽  
Trinh Do Van Nga ◽  
Dinh-Toi Chu ◽  
Le Quynh Anh
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Pediatric Patient ◽  
Laser Diode ◽  
Hemophilia A ◽  
Severe Hemophilia

Successful double bypass in a patient with severe hemophilia A: a case report

2011 ◽  
Vol 33 (2) ◽  
pp. 193-196 ◽  
Author(s):  
Giovanni Barillari ◽  
Samantha Pasca ◽  
Filippo Erice ◽  
Ugolino Livi
Keyword(s):  
Case Report ◽  
Hemophilia A ◽  
Severe Hemophilia

scholarly journals Pacemaker Implantation in a Cat with Paroxysmal Third-degree Atrioventricular Block

2000 ◽  
Vol 53 (2) ◽  
pp. 75-79 ◽  
Author(s):  
Atsushi HIRAKAWA ◽  
Makoto FUJIKI ◽  
Naoki MIURA ◽  
Hinako SHIBAYAMA ◽  
Yoshiaki TAKAHASHI ◽  
...  
Keyword(s):  
Atrioventricular Block ◽  
Pacemaker Implantation ◽  
Third Degree Atrioventricular Block

scholarly journals Large hemorrhage due to venipuncture in the elbow of a patient with severe hemophilia: A case report and literature review

2016 ◽  
Vol 11 (3) ◽  
pp. 1023-1026
Author(s):  
JINGTONG LYU ◽  
WENJIE WU ◽  
ZHOU XIANG ◽  
FUGUO HUANG
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Hemophilia A ◽  
Severe Hemophilia

scholarly journals Emicizumab prophylaxis in a Korean child with severe hemophilia A and high titer inhibitor: a case report

2021 ◽  
Author(s):  
Ji Hyun Ahn ◽  
Nani Jung ◽  
Ye Jee Shim ◽  
Heung Sik Kim
Keyword(s):  
Case Report ◽  
Hemophilia A ◽  
High Titer ◽  
Severe Hemophilia ◽  
Korean Child
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