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81-year-old patient with tachycardia–bradycardia syndrome after bilateral mastectomy with pacemaker pocket infection
Affiliations- Department of Cardiology, Medical University of Bialystok, Białystok, Poland
- Cardiology Clinic and Intensive Cardiac Care Unit, University Clinical Hospital in Bialystok, Białystok, Poland
- I Department of Cardiology, Medical University of Poznan, Poznań, Poland
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Abstract
The case report presents a history of an 81-year-old woman with paroxysmal atrial fibrillation, treated with apixaban at a reduced dose, who has a DDD pacemaker implanted in March 2018 due to tachycardia-bradycardia syndrome. In the interview were left-hand mastectomy in 2012 and right-hand mastectomy in October 2022 caused by breast cancer. In November 2022 the patient was admitted to the Department of Cardiology to stimulate system removal because of a pacemaker pocket infection. Then, according to the interview of sick sinus syndrome, the electrocardiogram Holter monitoring was made and due to its results the patient was qualified for repeated electrotherapy. Considering the general clinical view it was decided to implant the leadless MICRA pacemaker.
Abstract
The case report presents a history of an 81-year-old woman with paroxysmal atrial fibrillation, treated with apixaban at a reduced dose, who has a DDD pacemaker implanted in March 2018 due to tachycardia-bradycardia syndrome. In the interview were left-hand mastectomy in 2012 and right-hand mastectomy in October 2022 caused by breast cancer. In November 2022 the patient was admitted to the Department of Cardiology to stimulate system removal because of a pacemaker pocket infection. Then, according to the interview of sick sinus syndrome, the electrocardiogram Holter monitoring was made and due to its results the patient was qualified for repeated electrotherapy. Considering the general clinical view it was decided to implant the leadless MICRA pacemaker.
Keywords
tachycardia-bradycardia, sick sinus syndrome, pacepocket infection, MICRA
About this articleTitle
81-year-old patient with tachycardia–bradycardia syndrome after bilateral mastectomy with pacemaker pocket infection
Journal
Issue
Article type
Case report
Published online
2023-03-16
Page views
68
Article views/downloads
35
DOI
10.5603/FC.a2023.0005
Keywords
tachycardia-bradycardia
sick sinus syndrome
pacepocket infection
MICRA
Authors
Katarzyna Krajewska
Marcin Witkowski
Przemysław Mitkowski
Anna Tomaszuk-Kazberuk
Bożena Sobkowicz
Anna Lisowska
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- Olsen T, Jørgensen OD, Nielsen JC, et al. Incidence of device-related infection in 97 750 patients: clinical data from the complete Danish device-cohort (1982–2018). Eur Heart J. 2019; 40(23): 1862–1869.
- Fleischmann KE, Orav EJ, Lamas GA, et al. Pacemaker implantation and quality of life in the Mode Selection Trial (MOST). Heart Rhythm. 2006; 3(6): 653–659.
