| Paradoxic embolism due to altered hemodynamic sequencing following transvenous pacing. | |
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MedLine Citation:
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PMID: 1710053 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A young patient, who experienced a cerebral embolic event 30 days after transvenous pacemaker lead placement, is reported. This patient had previously been paced with an epicardial lead without evidence of right to left intracardiac shunt. However, hemodynamic evaluation post-embolism demonstrated a marked temporal disparity of the pulmonary and systemic ventricles. This phasic divergence resulted in a brief reversal of right and left ventricular pressure ratios, and a paradoxic intracardiac shunt at a small ventricular septal defect. The potential for similar events in the presence of any defect of the atrial or ventricular septum mandates caution in the use of transvenous pacemaker leads in such patients. |
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Authors:
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M J Silka; M J Rice |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pacing and clinical electrophysiology : PACE Volume: 14 ISSN: 0147-8389 ISO Abbreviation: Pacing Clin Electrophysiol Publication Date: 1991 Apr |
Date Detail:
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Created Date: 1991-06-28 Completed Date: 1991-06-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7803944 Medline TA: Pacing Clin Electrophysiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 499-503 Citation Subset: IM |
Affiliation:
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University Arrhythmia Service, Oregon Health Sciences University, Portland 97201. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Blood Pressure Cardiac Output Cardiac Pacing, Artificial / adverse effects*, methods Child Heart Septal Defects, Ventricular / complications*, physiopathology Humans Intracranial Embolism and Thrombosis / etiology* Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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