Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial Threshold
The patient was a 43-year-old male whose chief complaint was syncope. Electrocardiography at the first visit revealed escaped rhythm (38 bpm). After hospitalization he developed reverse common atrial flutter (AFL) and underwent catheter ablation. After termination of atrial flutter by ablation, sinu...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1880427611800098 |
| _version_ | 1811302062042906624 |
|---|---|
| author | Shunsuke Sasaoka Toshiya Muramatsu Tsuyoshi Sakai |
| author_facet | Shunsuke Sasaoka Toshiya Muramatsu Tsuyoshi Sakai |
| author_sort | Shunsuke Sasaoka |
| collection | DOAJ |
| description | The patient was a 43-year-old male whose chief complaint was syncope. Electrocardiography at the first visit revealed escaped rhythm (38 bpm). After hospitalization he developed reverse common atrial flutter (AFL) and underwent catheter ablation. After termination of atrial flutter by ablation, sinus arrest was noted, allowing a diagnosis of bradycardia-tachycardia syndrome, for which the patient underwent pacemaker implantation.
Twenty days after implantation, a marked elevation of atrial threshold was noted, despite absence of a change in lead resistance or position, and atrial capturing was not possible even at the maximum output (8 V/ 1.2 ms). The cause remained unknown and the patient was followed without active intervention. Atrial threshold normalized during the follow-up, but no change was noted in lead resistance or position even at the time of normalization. |
| first_indexed | 2024-04-13T07:21:11Z |
| format | Article |
| id | doaj.art-5946746be9e34bdc91e0db723ccf46f3 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 |
| language | English |
| last_indexed | 2024-04-13T07:21:11Z |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-5946746be9e34bdc91e0db723ccf46f32022-12-22T02:56:37ZengWileyJournal of Arrhythmia1880-42762011-01-01271636710.1016/S1880-4276(11)80009-8Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial ThresholdShunsuke SasaokaToshiya MuramatsuTsuyoshi SakaiThe patient was a 43-year-old male whose chief complaint was syncope. Electrocardiography at the first visit revealed escaped rhythm (38 bpm). After hospitalization he developed reverse common atrial flutter (AFL) and underwent catheter ablation. After termination of atrial flutter by ablation, sinus arrest was noted, allowing a diagnosis of bradycardia-tachycardia syndrome, for which the patient underwent pacemaker implantation. Twenty days after implantation, a marked elevation of atrial threshold was noted, despite absence of a change in lead resistance or position, and atrial capturing was not possible even at the maximum output (8 V/ 1.2 ms). The cause remained unknown and the patient was followed without active intervention. Atrial threshold normalized during the follow-up, but no change was noted in lead resistance or position even at the time of normalization.http://www.sciencedirect.com/science/article/pii/S1880427611800098Atrial thresholdSick sinus syndromeReoperationPacing failure |
| spellingShingle | Shunsuke Sasaoka Toshiya Muramatsu Tsuyoshi Sakai Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial Threshold Journal of Arrhythmia Atrial threshold Sick sinus syndrome Reoperation Pacing failure |
| title | Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial Threshold |
| title_full | Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial Threshold |
| title_fullStr | Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial Threshold |
| title_full_unstemmed | Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial Threshold |
| title_short | Success in Avoiding Reoperation through Follow-up in a Case of Sick Sinus Syndrome Despite Transient Marked Elevation in Atrial Threshold |
| title_sort | success in avoiding reoperation through follow up in a case of sick sinus syndrome despite transient marked elevation in atrial threshold |
| topic | Atrial threshold Sick sinus syndrome Reoperation Pacing failure |
| url | http://www.sciencedirect.com/science/article/pii/S1880427611800098 |
| work_keys_str_mv | AT shunsukesasaoka successinavoidingreoperationthroughfollowupinacaseofsicksinussyndromedespitetransientmarkedelevationinatrialthreshold AT toshiyamuramatsu successinavoidingreoperationthroughfollowupinacaseofsicksinussyndromedespitetransientmarkedelevationinatrialthreshold AT tsuyoshisakai successinavoidingreoperationthroughfollowupinacaseofsicksinussyndromedespitetransientmarkedelevationinatrialthreshold |