open access

Vol 11, No 1 (2016)
Guidelines and Clinical Practice — a Discussion Forum for Cardiologists
Published online: 2016-03-01
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First degree atrio-ventricular block in a patient with implanted two-chamber cardioverter-defibrillator — an apperently minor problem

Dawid Bąkowski, Beata Wożakowska-Kapłon
DOI: 10.5603/FC.2016.0010
·
Folia Cardiologica 2016;11(1):75-79.

open access

Vol 11, No 1 (2016)
Guidelines and Clinical Practice — a Discussion Forum for Cardiologists
Published online: 2016-03-01

Abstract

We present a 58-year-old patient with dilated cardiomyopathy after cardioverter-defibrillator implantation. The patient has sick sinus syndrome and first degree atrio-ventricular block. Both atrial pacing in mode AAI and sequential pacing in mode DDD were poorly tolerated leading to heart failure worsening. The upgrading to resynchronisation therapy was a therapeutic option however requiring another invasive procedure. Presently because of a vast variety of implanted devices, appropriate choice and then optimal programming of the device requires considering not only clinical aspects but also many electrocardiographic and echocardiographic parameters.

Abstract

We present a 58-year-old patient with dilated cardiomyopathy after cardioverter-defibrillator implantation. The patient has sick sinus syndrome and first degree atrio-ventricular block. Both atrial pacing in mode AAI and sequential pacing in mode DDD were poorly tolerated leading to heart failure worsening. The upgrading to resynchronisation therapy was a therapeutic option however requiring another invasive procedure. Presently because of a vast variety of implanted devices, appropriate choice and then optimal programming of the device requires considering not only clinical aspects but also many electrocardiographic and echocardiographic parameters.

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Keywords

atrio-ventricular block, cardiac pacing, resynchronisation

About this article
Title

First degree atrio-ventricular block in a patient with implanted two-chamber cardioverter-defibrillator — an apperently minor problem

Journal

Folia Cardiologica

Issue

Vol 11, No 1 (2016)

Pages

75-79

Published online

2016-03-01

DOI

10.5603/FC.2016.0010

Bibliographic record

Folia Cardiologica 2016;11(1):75-79.

Keywords

atrio-ventricular block
cardiac pacing
resynchronisation

Authors

Dawid Bąkowski
Beata Wożakowska-Kapłon

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