Permanent pacemaker: report of a late diagnosis of displacement of the electrode

Authors

  • Roberto Casola Hospital MAD
  • Eugenio Casola Crespo
  • Rene Chunllo Quishpi
  • Solanch Casola García

Keywords:

MARCAPASOS, DIAGNÓSTICO TARDÍO, ELECTRODOS IMPLANTADOS.

Abstract

Background: in the last years, the placement of permanent pacemakers has become a safe procedure with low rates of complications; however, when these complications present they can cause a fatal end for patients due to the dysfunction of the device.
Objective: to analyze the late diagnosis of displacement of the electrode in the permanent pacemaker of a patient.
Clinical case: a sixty-six-year-old female patient with a history of high blood pressure of 25 years of evolution. The patient was under a daily treatment with amlodipine and hydrochlorothiazide, 10 and 25 mg respectively. Five years ago, because of third-degree atrioventricular block and syncope, she underwent the implantation of a permanent pacemaker. The patient had a good progress and no complications when discharged from the hospital. Four months after the operation she presented syncope and went to the pacemaker program consultation; there were no problems with the stimulation of the device. She continued presenting dizziness and loss of consciousness so she went to the specialized programmed follow-up consultations. Finally, the patient is diagnosed with displacement of the electrode. She underwent another procedure to place a new lead. She did not present dizziness or syncope in the follow-up.
Conclusions: the clinical method is the main element for the diagnosis of complications in the follow-up of patients with permanent pacemakers; still, only one diagnosis element is not enough to discard the problem so is necessary to use other diagnostic means.

DeCS: BIOLOGICAL CLOCKS; ELECTRODES, IMPLANTED/ADVERSE EFFECTS; ATRIOVENTRICULAR BLOCK; AGED; CASE STUDIES.

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Author Biography

Roberto Casola, Hospital MAD

Especialista de segundo grado en Cardiología

Máster en Urgencias Médicas

Profesor Auxiliar

Aspirante a Doctor en Ciencias Médicas

Jefe provincial de Camagüey en arritmias y marcapasos.

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Published

2015-12-10

How to Cite

1.
Casola R, Casola Crespo E, Chunllo Quishpi R, Casola García S. Permanent pacemaker: report of a late diagnosis of displacement of the electrode. Arch méd Camagüey [Internet]. 2015 Dec. 10 [cited 2025 Sep. 10];20(1):56-61. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/4171

Issue

Vol. 20 No. 1 (2016)

Section

Case Reports

License

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