Hypervolemia and physiology changes in triplet pregnancy in a mother with permanent pacemakers due to bradicardia resulting from sinus node dysfunction due to AV block with secondary infertility for 19 years

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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Postpartum Transient Hypervagotonic Sinus Node Dysfunction Leading to Sinus Bradycardia: A Case Report

Cureus ◽

10.7759/cureus.9186 ◽

2020 ◽

Author(s):

Roshan Acharya ◽

Rajesh Shrestha

Keyword(s):

Case Report ◽

Sinus Bradycardia ◽

Sinus Node ◽

Sinus Node Dysfunction

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Lithium-induced sinus node dysfunction: A case report

Taiwanese Journal of Psychiatry ◽

10.4103/tpsy.tpsy_5_20 ◽

2020 ◽

Vol 34 (1) ◽

pp. 51

Author(s):

Wen-Yin Chen ◽

Ching-Fang Chang ◽

Ying-Chih Cheng ◽

Chun-Tse Chen

Keyword(s):

Case Report ◽

Sinus Node ◽

Sinus Node Dysfunction

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Simplified Cardioneuroablation in the Treatment of Reflex Syncope, Functional AV Block, and Sinus Node Dysfunction

Pacing and Clinical Electrophysiology ◽

10.1111/pace.12756 ◽

2015 ◽

Vol 39 (1) ◽

pp. 42-53 ◽

Cited By ~ 43

Author(s):

TOLGA AKSU ◽

EBRU GOLCUK ◽

KIVANÇ YALIN ◽

TÜMER ERDEM GULER ◽

İSMAIL ERDEN

Keyword(s):

Sinus Node ◽

Sinus Node Dysfunction ◽

Av Block ◽

Reflex Syncope

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Passagerer Herzschrittmacher

DMW - Deutsche Medizinische Wochenschrift ◽

10.1055/s-0043-111860 ◽

2018 ◽

Vol 143 (12) ◽

pp. 888-894

Author(s):

Matthias Graf ◽

Patrick Stiller ◽

Martin Karch

Keyword(s):

Acute Phase ◽

Emergency Treatment ◽

Sinus Node ◽

Permanent Pacemaker ◽

Sinus Node Dysfunction ◽

Atrioventricular Conduction ◽

Flow Chart ◽

Temporary Pacemaker ◽

Symptomatic Bradycardia

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.

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Sinus Node Dysfunction in Pediatric and Young Adult Patients: Treatment by Implantation of a Permanent Pacemaker in 39 Cases

Mayo Clinic Proceedings ◽

10.1016/s0025-6196(12)60742-3 ◽

1985 ◽

Vol 60 (10) ◽

pp. 667-672 ◽

Cited By ~ 17

Author(s):

GLENN ALBIN ◽

DAVID L. HAYES ◽

DAVID R. HOLMES

Keyword(s):

Young Adult ◽

Sinus Node ◽

Permanent Pacemaker ◽

Sinus Node Dysfunction ◽

Adult Patients

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Permanent Pacemaker Implantations after Catheter Ablation in Patients with Atrial Fibrillation Associated with Underlying Sinus Node Dysfunction

Korean Circulation Journal ◽

10.4070/kcj.2019.0268 ◽

2020 ◽

Vol 50 (4) ◽

pp. 346 ◽

Cited By ~ 2

Author(s):

Tae Hyun Hwang ◽

Hee Tae Yu ◽

Tae-Hoon Kim ◽

Jae-Sun Uhm ◽

Jong-Youn Kim ◽

...

Keyword(s):

Atrial Fibrillation ◽

Catheter Ablation ◽

Sinus Node ◽

Permanent Pacemaker ◽

Sinus Node Dysfunction

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Abstract 15680: Sinus Node Dysfunction in Associated With Higher Symptom Burden and Increased Risk of Progression to Permanent Atrial Fibrillation: Results From ORBIT-AF Registry

Circulation ◽

10.1161/circ.130.suppl_2.15680 ◽

2014 ◽

Vol 130 (suppl_2) ◽

Author(s):

Larry R Jackson ◽

Sung Hee Kim ◽

Jonathan P Piccini ◽

Bernard J Gersh ◽

Gerald V Naccarelli ◽

...

Keyword(s):

Quality Of Life ◽

Atrial Fibrillation ◽

Sinus Bradycardia ◽

Sinus Node ◽

Sinus Node Dysfunction ◽

Left Ventricular Ejection ◽

Increased Risk ◽

Risk Of Progression

Background: Patients with sinus node dysfunction (SND) are at increased risk of atrial tachyarrhythmias, including atrial fibrillation (AF). Whether the presence of SND is also associated with worse outcomes among those with AF has not been well described. Methods: The ORBIT-AF registry enrolled patients with AF from a range of clinical practices across the US. SND was defined clinically, based on the presence of sinus bradycardia, severe sinus bradycardia, sinus arrest, sinoatrial exit block, or features of tachycardia-bradycardia syndrome. Descriptive statistics and multivariable logistic regression analysis were used to describe treatment patterns and outcomes for patients with and without SND and AF. Results: Overall, 1,710 (17.7%) patients had SND at enrollment. Patients with SND had lower left-ventricular ejection fractions, higher CHA 2 DS 2 -VASc risk scores, and more prior cerebrovascular events. Patients with SND had more severe symptoms (EHRA class IV: 17.5% vs. 13.9%; p=0.007) and poorer quality of life (median AFEQT 77.5 vs. 81.1; p=0.008) as compared to those without. SND patients were more frequently treated with oral anticoagulants (79.2% vs. 75.9%, p=0.004) and had more often received interventional therapy for AF (16.1% vs. 10.5%, p<0.0001). There were no differences in the current AF management strategy between patients with SND and those without [rate control (69.7% vs. 67.7%), rhythm control (30.0% vs. 32.0%); P=0.11]. After adjustment, significantly more patients with SND had progressed from paroxysmal AF at baseline to persistent or permanent AF at any follow-up or persistent AF at baseline to permanent AF at any follow-up than those without (OR 1.23, 95% CI 1.01-1.49, p=0.035). Conclusion: Sinus node dysfunction is associated worse symptoms, lower quality of life, and higher risk of progression to permanent AF. However, SND is not associated with increased risk of all-cause hospitalization, incident stroke, or all-cause death.

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