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Rapidly progressive heart failure after dual-chamber pacemaker implantation
- Source :
- BMJ case reports. 14(10)
- Publication Year :
- 2023
-
Abstract
- Pacing-induced cardiomyopathy (PICM) consists of heart failure (HF) associated with a drop in the left ventricular ejection fraction (LVEF) in the setting of high-burden right ventricular pacing, with presentation that may range from subclinical to severe. Time to manifestation can go from weeks to years after device implantation. Treatment typically consists in an upgrade to a cardiac resynchronisation therapy (CRT) or His bundle pacing (HisP). Several risk factors for PICM have been described and should be considered before pacemaker (PM) implantation, as thorough patient selection for de novo CRT or HisP, may preclude its manifestation. We present the case of an 82-year-old patient presenting with acute congestive HF and new severely reduced LVEF, 30 days following dual chamber PM implantation for high-grade atrioventricular block. Treatment with HF medication and upgrade to a CRT permitted rapid resolution of the symptoms and normalisation of the LVEF at 1-month follow-up.
- Subjects :
- 2019-20 coronavirus outbreak
medicine.medical_specialty
Pacemaker, Artificial
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Cardiomyopathy
Ventricular Function, Left
Cardiac Resynchronization Therapy
Internal medicine
medicine
Humans
cardiovascular diseases
Dual Chamber Pacemaker
Aged, 80 and over
Heart Failure
Ejection fraction
business.industry
Cardiac Pacing, Artificial
Stroke Volume
General Medicine
Ventricular pacing
medicine.disease
Treatment Outcome
Heart failure
cardiovascular system
Cardiology
business
Atrioventricular block
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....dcfb7baa1638b8208699d0b33a9858ae