Late atrioventricular block and permanent pacemaker implantation after heart transplantation

被引：0
|
作者：
Akcakoyun, Mustafa [1 ]
Demir, Ahmet Duran [1 ]
Ozatik, Mehmet Ali [2 ]
Kucuker, Seref [2 ]
机构：
[1] Turkiye Yuksek Ihtisas Heart Educ & Res Hosp, Dept Cardiol, Ankara, Turkey
[2] Turkiye Yuksek Ihtisas Heart Educ & Res Hosp, Dept Cardiovasc Surg, Ankara, Turkey
来源：
TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY | 2009年 / 37卷 / 08期
关键词：
Bradycardia; heart block/therapy; heart transplantation; pacemaker; artificial; postoperative complications;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The need for permanent pacemaker implantation due to late atrioventricular (AV) block after heart transplantation is rare. A 59-year-old male patient underwent heart transplantation. He presented with syncope eight months after transplantation. Ambulatory 24-hour Holter monitoring showed predominant sinus rhythm with a mean heart rate of 74 bpm, intermittent second-degree AV block, and high-degree AV block with pauses of up to 10.6 seconds. Percutaneous transvenous endomyo-cardial biopsy yielded a histologic diagnosis of grade IA rejection according to the ISHLT (International Society of Heart and Lung Transplantation) scoring system. A permanent pacemaker with DDD-R mode was implanted via the left subclavian vein, and he was discharged on the following day without any complication.
引用
收藏
页码：572 / 574
页数：3
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