Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case report
Dextrocardia is a congenital abnormal position of the heart in which the main part of the heart is in the right chest, and the long axis of the heart points to the lower right. Cases of a combination of dextrocardia and sick sinus syndrome are rare. A 65-year-old female patient was admitted to hospi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-03-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605221088551 |
| _version_ | 1818287088308584448 |
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| author | Junqian Luo Zihao Zhou Kaicong Chen Junyao Lin Chaogeng Cai Zhihuan Zeng |
| author_facet | Junqian Luo Zihao Zhou Kaicong Chen Junyao Lin Chaogeng Cai Zhihuan Zeng |
| author_sort | Junqian Luo |
| collection | DOAJ |
| description | Dextrocardia is a congenital abnormal position of the heart in which the main part of the heart is in the right chest, and the long axis of the heart points to the lower right. Cases of a combination of dextrocardia and sick sinus syndrome are rare. A 65-year-old female patient was admitted to hospital with palpitations and dizziness for 1 week. Mirror-image dextrocardia and sick sinus syndrome were diagnosed by an electrocardiogram, echocardiography, Holter monitoring, and X-rays. Finally, we successfully implanted a dual-chamber pacemaker into the patient. The patient had an uneventful recovery and was discharged when her symptoms had greatly improved 1 week later. When dextrocardia is present, using active fixation leads in the atrial and ventricular leads is easier for finding the pacing position with optimal sensing and pacing thresholds, and they reduce the incidence of falling off. |
| first_indexed | 2024-12-13T01:34:55Z |
| format | Article |
| id | doaj.art-26666752a4ab46f38117ecf381855fc3 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-13T01:34:55Z |
| publishDate | 2022-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-26666752a4ab46f38117ecf381855fc32022-12-22T00:03:54ZengSAGE PublishingJournal of International Medical Research1473-23002022-03-015010.1177/03000605221088551Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case reportJunqian LuoZihao ZhouKaicong ChenJunyao LinChaogeng CaiZhihuan ZengDextrocardia is a congenital abnormal position of the heart in which the main part of the heart is in the right chest, and the long axis of the heart points to the lower right. Cases of a combination of dextrocardia and sick sinus syndrome are rare. A 65-year-old female patient was admitted to hospital with palpitations and dizziness for 1 week. Mirror-image dextrocardia and sick sinus syndrome were diagnosed by an electrocardiogram, echocardiography, Holter monitoring, and X-rays. Finally, we successfully implanted a dual-chamber pacemaker into the patient. The patient had an uneventful recovery and was discharged when her symptoms had greatly improved 1 week later. When dextrocardia is present, using active fixation leads in the atrial and ventricular leads is easier for finding the pacing position with optimal sensing and pacing thresholds, and they reduce the incidence of falling off.https://doi.org/10.1177/03000605221088551 |
| spellingShingle | Junqian Luo Zihao Zhou Kaicong Chen Junyao Lin Chaogeng Cai Zhihuan Zeng Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case report Journal of International Medical Research |
| title | Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case report |
| title_full | Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case report |
| title_fullStr | Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case report |
| title_full_unstemmed | Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case report |
| title_short | Implantation of a dual-chamber pacemaker in a patient with dextrocardia and sick sinus syndrome: a case report |
| title_sort | implantation of a dual chamber pacemaker in a patient with dextrocardia and sick sinus syndrome a case report |
| url | https://doi.org/10.1177/03000605221088551 |
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