Document Detail


Complication of ventricular demand pacing after orthotopic heart transplantation: unusual case of pacemaker syndrome in an infant.
MedLine Citation:
PMID:  9436139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Sinus node dysfunction is the most common indication for antibradycardiac permanent pacing after heart transplantation. Lack of atrioventricular synchrony during pacing can result in symptoms ranging from mild chest discomfort to severe manifestations such as dyspnea, hypotension, and cardiovascular collapse, all of which are ascribed to pacemaker syndrome. In infants pacemaker syndrome is often only recognized in the face of marked hemodynamic compromise. RESULTS: This report details an unusual account of pacemaker syndrome in an infant after orthotopic heart transplantation. CONCLUSIONS: Careful assessment of atrioventricular synchrony is important after infant transplantation.
Authors:
G L Smith; Y Law; R Hamilton; L West; J Coles; L Benson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation     Volume:  16     ISSN:  1053-2498     ISO Abbreviation:  J. Heart Lung Transplant.     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-02-26     Completed Date:  1998-02-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9102703     Medline TA:  J Heart Lung Transplant     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1267-70     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Hospital for Sick Children, University of Toronto School of Medicine, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / etiology
Arrhythmia, Sinus / etiology,  therapy
Atrioventricular Node / physiopathology
Bradycardia / therapy
Cardiac Pacing, Artificial / adverse effects,  methods
Cardiomegaly / etiology
Dyspnea / etiology
Heart Transplantation* / physiology
Hemodynamics
Humans
Hypotension / etiology
Infant
Myocardial Contraction
Pacemaker, Artificial / adverse effects*
Pulmonary Atelectasis / etiology
Pulmonary Edema / etiology
Shock / etiology
Sick Sinus Syndrome / therapy
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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