Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report
Abstract Background Fulminant myocarditis is a clinical syndrome associated with threatening dysrhythmia which temporary pacemaker can be used for life-saving support. As a method of physiological pacing, His bundle pacing (HBP) maintain better cardiac synchronization than traditional right ventricu...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
|
| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-022-02936-8 |
| _version_ | 1811304500904853504 |
|---|---|
| author | Limeng Jiang Liangguo Wang Chuhuan Zhao Xi Zhou Xia Hong Xiafei Feng Lei Xu Shengjie Wu Roy Chung Weijian Huang Lan Su |
| author_facet | Limeng Jiang Liangguo Wang Chuhuan Zhao Xi Zhou Xia Hong Xiafei Feng Lei Xu Shengjie Wu Roy Chung Weijian Huang Lan Su |
| author_sort | Limeng Jiang |
| collection | DOAJ |
| description | Abstract Background Fulminant myocarditis is a clinical syndrome associated with threatening dysrhythmia which temporary pacemaker can be used for life-saving support. As a method of physiological pacing, His bundle pacing (HBP) maintain better cardiac synchronization than traditional right ventricular (RV) pacing. Case presentation It’s a severe case of fulminant myocarditis in a 41-year-old patient who presented for recurrent arrhythmias with hemodynamic instability. Temporary His bundle pacing combined with optimal medical therapy and extracorporeal membrane oxygenators (ECMO) supported him through his critical period of hospitalization. Conclusions During 1-year follow up, the cardiac function recovery was obvious without any pacing related complications. Echocardiography showed better atrioventricular and intra-ventricular synchronization during HBP in DDD mode. This is the first reported case of temporary His-purkinje conduction system pacing used for severe fulminant myocarditis. |
| first_indexed | 2024-04-13T08:08:15Z |
| format | Article |
| id | doaj.art-a0663f475a0d4808b09427185ef49d09 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-13T08:08:15Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-a0663f475a0d4808b09427185ef49d092022-12-22T02:55:06ZengBMCBMC Cardiovascular Disorders1471-22612022-11-012211610.1186/s12872-022-02936-8Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case reportLimeng Jiang0Liangguo Wang1Chuhuan Zhao2Xi Zhou3Xia Hong4Xiafei Feng5Lei Xu6Shengjie Wu7Roy Chung8Weijian Huang9Lan Su10Department of Cardiology, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiac Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiac Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiac Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiac Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Wenzhou Medical UniversityHeart and Vascular Institute, Cleveland ClinicDepartment of Cardiology, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Wenzhou Medical UniversityAbstract Background Fulminant myocarditis is a clinical syndrome associated with threatening dysrhythmia which temporary pacemaker can be used for life-saving support. As a method of physiological pacing, His bundle pacing (HBP) maintain better cardiac synchronization than traditional right ventricular (RV) pacing. Case presentation It’s a severe case of fulminant myocarditis in a 41-year-old patient who presented for recurrent arrhythmias with hemodynamic instability. Temporary His bundle pacing combined with optimal medical therapy and extracorporeal membrane oxygenators (ECMO) supported him through his critical period of hospitalization. Conclusions During 1-year follow up, the cardiac function recovery was obvious without any pacing related complications. Echocardiography showed better atrioventricular and intra-ventricular synchronization during HBP in DDD mode. This is the first reported case of temporary His-purkinje conduction system pacing used for severe fulminant myocarditis.https://doi.org/10.1186/s12872-022-02936-8His bundle pacingAtrioventricular blockFulminant myocarditisEchocardiographyCase report |
| spellingShingle | Limeng Jiang Liangguo Wang Chuhuan Zhao Xi Zhou Xia Hong Xiafei Feng Lei Xu Shengjie Wu Roy Chung Weijian Huang Lan Su Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report BMC Cardiovascular Disorders His bundle pacing Atrioventricular block Fulminant myocarditis Echocardiography Case report |
| title | Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report |
| title_full | Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report |
| title_fullStr | Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report |
| title_full_unstemmed | Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report |
| title_short | Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report |
| title_sort | atrial his bundle pacing in fulminant myocarditis with ventricular arrhythmia a case report |
| topic | His bundle pacing Atrioventricular block Fulminant myocarditis Echocardiography Case report |
| url | https://doi.org/10.1186/s12872-022-02936-8 |
| work_keys_str_mv | AT limengjiang atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT liangguowang atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT chuhuanzhao atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT xizhou atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT xiahong atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT xiafeifeng atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT leixu atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT shengjiewu atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT roychung atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT weijianhuang atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport AT lansu atrialhisbundlepacinginfulminantmyocarditiswithventriculararrhythmiaacasereport |