Passagerer Herzschrittmacher

2018 ◽  
Vol 143 (12) ◽  
pp. 888-894
Author(s):  
Matthias Graf ◽  
Patrick Stiller ◽  
Martin Karch

AbstractSymptomatic bradycardia is usually caused by abnormalities of atrioventricular conduction or sinus node dysfunction. Reversible and irreversible causes must be considered.Temporary pacemakers are used in the emergency treatment in case of severe bradyarrhythmia.They help to bridge the acute phase until spontaneous restoration of atrioventricular or sinus node function or –if spontaneous restoration fails- until a permanent pacemaker system was implanted.In the following article we discuss the commonly used temporary pacemaker systems. We demonstrate their use and correct programming by an illustrated step by step explanation. For troubleshooting a flow chart was added.

2020 ◽  
Vol 50 (4) ◽  
pp. 346 ◽  
Author(s):  
Tae Hyun Hwang ◽  
Hee Tae Yu ◽  
Tae-Hoon Kim ◽  
Jae-Sun Uhm ◽  
Jong-Youn Kim ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Naomi Nakagawa ◽  
Masahiro Kamada ◽  
Yukiko Ishiguchi ◽  
Yuji Moritoh ◽  
Kengo Okamoto ◽  
...  

Although central nervous system complications occasionally accompany during the acute phase of Kawasaki disease, clinically problematic arrhythmia is quite rare. We report a case accompanied by encephalitis and several kinds of problematic arrhythmia. Following the diagnosis of Taussig–Bing anomaly and coarctation of the aorta, the patient underwent aortic arch reconstruction, an arterial switch operation, and ventricular septal defect closure. No significant arrhythmias were observed. At the age of 5 years, the patient presented with a fever, rash, conjunctival hyperemia, and redness of the lips and fingertips. He was subsequently diagnosed with Kawasaki disease. The patient also presented with disorientation, and electroencephalography revealed overall slow-wave activity, indicating encephalitis. The patient received high-dose immunoglobulin and steroid pulse therapy. Sinus arrest was detected on day 10, and an atrial flutter with a 2 : 1 to 4 : 1 atrioventricular conduction block occurred on day 20. Although cardioversion succeeded in alleviating the atrial flatter, the patient experienced significant sinus arrest. The sinus arrest was alleviated 3 days later. Kawasaki disease-induced vasculitis and the arterial switch operation may both have influenced the sinus node dysfunction. Although sinus node function recovered, the possibility of progression into the sinus node dysfunction in the future should be considered.


EP Europace ◽  
2016 ◽  
Vol 19 (7) ◽  
pp. 1220-1226 ◽  
Author(s):  
Roman Brenner ◽  
Peter Ammann ◽  
See-Il Yoon ◽  
Stefan Christen ◽  
Jens Hellermann ◽  
...  

1989 ◽  
Vol 78 (3) ◽  
pp. 436-437 ◽  
Author(s):  
Mitsuhiro MORI ◽  
Katsusuke YANO ◽  
Takaaki HASHIMOTO ◽  
Youko OKANO ◽  
Takao MITSUOKA ◽  
...  

2009 ◽  
Vol 32 (5) ◽  
pp. 604-613 ◽  
Author(s):  
MARTIN STOCKBURGER ◽  
FREDERIKE TRAUTMANN ◽  
AISCHA NITARDY ◽  
MARTIN-JUST-TEETZMANN ◽  
STEFAN SCHADE ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Amrish Deshmukh ◽  
Cevher Ozcan

Sinus node dysfunction with symptomatic bradycardia or chronotropic incompetence is generally an indication for pacemaker implantation. However, in patients with symptomatic sinus bradycardia, the identification and treatment of underlying pathologies may avoid the need for permanent pacemaker implantation. We present a case of carotid sinus syndrome and severe obstructive sleep apnea due to a massive multinodular goiter in a patient who presented with recurrent sinus pauses and syncope. The patient was managed without pacemaker implantation but instead with thyroidectomy resulting in decompression of the carotid sinus and airway and resolution of bradycardic episodes.


2020 ◽  
Vol 28 (3) ◽  
pp. 128
Author(s):  
Ali Sungkar ◽  
Fita Maulina ◽  
M Adya F Dilmy

The well-known hypervolemia associated with normal pregnancy averages 40 to 45 percent above blood volume in non-pregnant women after 32 to 34 weeks. The case was on Mrs. FN, 40 years old, a patient reffered due to sinus bradycardia before the insertion of permanent pacemaker. After 6 month-use of the permanent pacemaker, she became pregnant with triplet pregnancy. This case report evaluated the patient's condition from her hypervolemic condition to her cardiac function.


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