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ISSN 1025-0255 (Electronic)

2016, Number 1

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AMC 2016; 20 (1)

Permanent pacemaker: report of a late diagnosis of displacement of the electrode

Casola CR, Casola CE, Chunllo QR, Casola GS

Language: Spanish
References: 13
Page: 56-61
PDF size: 404.19 Kb.


ABSTRACT

Background: in the last years, the placement of permanent pacemakers has become a safe procedure with low rates of complications; however, when these complications present they can cause a fatal end for patients due to the dysfunction of the device.
Objective: to analyze the late diagnosis of displacement of the electrode in the permanent pacemaker of a patient.
Clinical case: a sixty-six-year-old female patient with a history of high blood pressure of 25 years of evolution. The patient was under a daily treatment with amlodipine and hydrochlorothiazide, 10 and 25 mg respectively. Five years ago, because of third-degree atrioventricular block and syncope, she underwent the implantation of a permanent pacemaker. The patient had a good progress and no complications when discharged from the hospital. Four months after the operation she presented syncope and went to the pacemaker program consultation; there were no problems with the stimulation of the device. She continued presenting dizziness and loss of consciousness so she went to the specialized programmed follow-up consultations. Finally, the patient is diagnosed with displacement of the electrode. She underwent another procedure to place a new lead. She did not present dizziness or syncope in the follow-up.
Conclusions: the clinical method is the main element for the diagnosis of complications in the follow-up of patients with permanent pacemakers; still, only one diagnosis element is not enough to discard the problem so is necessary to use other diagnostic means.


REFERENCES

  1. Segura Pujal LA. Variante técnica en la confec-ción del bolsillo de marcapasos. AMC [Internet]. Feb 2012 [citado 18 May 2014];16(1):[aprox. 4 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552012000100007

  2. Vardas PE, Auricchio A, Blanc JJ, Daubert JC, Drexler H, Ector H. Guías europeas de práctica clínica sobre marcapasos y terapia de resincronización cardiaca. Rev Esp Cardiol [Internet]. 2007 [citado 18 May 2014];60(12):[aprox. 2 p.]. Disponible en: http://pdf.revespcardiol.org/watermark/ctl_servlet?_f=10&pident_articulo=13113933&pident_usuario=0&pcontactid=&pident_revista=25&ty=114&ac-cion=L&origen=cardio&web=www.revespcardiol.org&lan=es&fichero=25v60n12a13113933pdf001.pdf

  3. Casola Crespo R, Ramírez Lana L, Sellén Sanchén E, Casola Crespo E, Ortiz Santana Y. Infección por marcapasos permanente. Comportamiento en hospital provincial. Rev Electrón Portales Méd [Internet]. 2013 [citado 18 May 2014];VIII(5):[aprox. 9 p.]. Disponible en: http://www.revista-portalesmedicos.com/revista-medica/infeccion-por-marcapasos-permanente/.

  4. Coma Samartìn R, Ruiz Mateas F, Fidalgo Andrès ML, Leal del Ojo Gonzàlez J, Pèrez Àlva-rez L. Registro Español de Marcapasos. X Infor-me Oficial de la Secciòn de Estimulaciòn Cardia-ca de la Sociedad Española de Cardiologìa (2012). Rev Esp Cardiol. 2013;66:959–72.

  5. Brignole M, Auricchio A, Barón-Esquivias G, Bordachar P, Boriani G, Breithardt OA, et al. Guías de práctica clínica de la Sociedad Europea de Cardiología 2013 sobre estimulación cardia-ca y terapia de resincronización cardiaca. Rev Española Cardiología [Internet]. 2014 [citado 18 May 2014];67(1):[aprox. 60 p.]. Disponible en: http://www.revespcardiol.org/es/guia-practica-clinica-esc-2013/articulo/90263715/.

  6. Pakarinen S, Oikarinen L, Toivonen L. Short-term implantation-related complications of car-diac rhythm management device therapy: a retrospective single-centre 1-year survey. Eu-ropace [Internet]. 2010 [citado 2014 May 18];12(1):[aprox. 7 p.]. Disponible en: http://europace.oxfordjournals.org/content/12/1/103

  7. Borek PP, Wilkoff BL. Pacemaker and ICD leads: strategies for long-term management. J Interv Card Electrophysiol [Internet]. 2008 Oct 23 [citado 2014 May 18];23(1):[about 9 p.]. Dipsonible en: http://link.springer.com/article/10.1007%2Fs10840-008-9249-7#page-1

  8. Gul EE, Kayrak M. Common pacemaker prob-lems: lead and pocket complications. En: Das MK, editor. Modern Pacemakers-Present and Future. Rijeka, Croati: InTech; 2011. p. 299–318.

  9. Hercé B, Nazeyrollas P, Lesaffre F, Sandras R, Chabert JP, Martin A, et al. Risk factors for in-fection of implantable cardiac devices: data from a registry of 2496 patients. Europace. 2013 Jan;15(1):66-70.

  10. Senaratne IM, Jayasuriya A, Irwin M, Gu-lamhusein S, Senaratne M. A 19-Year Study on Pacemaker-Related Infections: A Claim for Using Postoperative Antibiotics.

  11. Pace [Internet]. 2014 Aug [citado 2014 Oct 10];37(8):[about 9 p.]. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/pace.12403/full

  12. Kirkfeldt RE, Johansen JB, Nohr EA, Moller M, Arnsbo P, Nielsen JC. Risk Factors for Lead Complications in Cardiac Pacing: a population-based cohort study of 28,860 Danish patients. Heart Rhythm [Internet]. 2011 Oct [citado 2014 May 18];8(10):[about 7 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S1547527111004759

  13. Milton E, Guevara V, Leal-Ortiz GE, Bonilla-Morales I. Disfunciòn del marcapasos por sindrome de reel. Rev Med Inst Mex Seguro Soc [Internet]. 2012 [citado 2014 May 18];50(2):[about 11 p.]. Disponible en: http://www.medigraphic.com/pdfs/imss/im-2012/im122q.pdf




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