Limb-girdle muscular dystrophy;
Permanent pacemaker implantation;
Pause in atrial rhythm;
D O I:
10.1016/j.jelectrocard.2020.05.003
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
A 58-year-old woman with a history of multi-origin atrial tachycardia and limb-girdle muscular dystrophy was treated for presyncope caused by pauses in atrial rhythm. A dual-chamber pacemaker was implanted. The low-voltage area extended broadly, but 10-V pacing could not capture the large right atrium, including the right atrial appendage, except the coronary sinus ostium. The atrial lead was screwed in using a steerable stylet. A ventricular lead was placed in the right ventricular apex. Atrial pacing at the coronary sinus was required to treat the pauses in the atrial rhythm. (C) 2020 Elsevier Inc. All rights reserved.