A Case of Pacemaker Syndrome.
10.4070/kcj.1994.24.6.916
- Author:
Yong Woo JANG
;
Jang Keun IHM
;
Chun Soo KANG
;
Mee Ok KIM
;
Hyeong Kweon KIM
;
Nam Wook KANG
;
Sung Wook OH
;
Chang Won KANG
;
Won Bo SHIM
- Publication Type:Case Report
- Keywords:
Pacemaker syndrome;
VA conduction
- MeSH:
Adult;
Blood Pressure;
Dichlorodiphenyldichloroethane;
Dyspnea;
Electrocardiography;
Female;
Heart Failure;
Hemodynamics;
Humans;
Neurologic Manifestations;
Sick Sinus Syndrome;
Thorax
- From:Korean Circulation Journal
1994;24(6):916-921
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although ventricular pacing alone initially had deemed adequate for most clinical situations, some patients did not do well after ventricular pacing was initiated, and developed various symptoms attributed to this mode of pacing. The pacemaker syndrome is complex of clinical signs and symptoms related to the adverse hemodynamic and electrophysiologic consequences of ventricular pacing in the absence of other causes. Neurologic symptoms or those congestive heart failure predominated. We recently experienced a case of pacemaker syndrome in a 44-year-old female who had suffered sick sinus syndrome and was implanted with dual chamber pacing system being programmed to VVI pacing. She complained of chest discomfort, dyspnea, and near-fainting in a day after being programmed to VVI. Blood pressure was decreased to 9/60mmHg. Electrocardiography showed toPwave onT wave, representing retrograde ventriculoatrial conduction. The symptoms and signs were disappeared immediately after the pacing system was programmed to DDD pacing.