Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis

A 76-year-old woman with sarcoidosis who had an implantable pacemaker for complete atrioventricular block was admitted with syncope. Electrocardiogram revealed ventricular pacing failure, and a marked rise in the ventricular pacing threshold. (18)F-Fluorodeoxyglucose positron emission tomography (FD...

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Autores principales: Terui, Yosuke, Nakamura, Akihiro, Endo, Hideaki, Kadosaka, Takahide, Nakata, Takashi, Watanabe, Tasuku, Sato, Kenjiro, Kanazawa, Masanori, Kondo, Masateru, Takahashi, Tohru, Nozaki, Eiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5634719/
https://www.ncbi.nlm.nih.gov/pubmed/29021864
http://dx.doi.org/10.1016/j.joa.2017.06.004
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author Terui, Yosuke
Nakamura, Akihiro
Endo, Hideaki
Kadosaka, Takahide
Nakata, Takashi
Watanabe, Tasuku
Sato, Kenjiro
Kanazawa, Masanori
Kondo, Masateru
Takahashi, Tohru
Nozaki, Eiji
author_facet Terui, Yosuke
Nakamura, Akihiro
Endo, Hideaki
Kadosaka, Takahide
Nakata, Takashi
Watanabe, Tasuku
Sato, Kenjiro
Kanazawa, Masanori
Kondo, Masateru
Takahashi, Tohru
Nozaki, Eiji
author_sort Terui, Yosuke
collection PubMed
description A 76-year-old woman with sarcoidosis who had an implantable pacemaker for complete atrioventricular block was admitted with syncope. Electrocardiogram revealed ventricular pacing failure, and a marked rise in the ventricular pacing threshold. (18)F-Fluorodeoxyglucose positron emission tomography (FDG-PET) indicated increased uptake of FDG in the ventricular septum. Three days after steroid therapy, the ventricular pacing threshold reverted to normal, and FDG-PET showed decreased FDG uptake in the ventricular septum. In this case report, we demonstrate that a sudden deterioration in the ventricular pacing threshold due to worsening cardiac sarcoidosis can be reversed with early steroid therapy.
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spelling pubmed-56347192017-10-11 Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis Terui, Yosuke Nakamura, Akihiro Endo, Hideaki Kadosaka, Takahide Nakata, Takashi Watanabe, Tasuku Sato, Kenjiro Kanazawa, Masanori Kondo, Masateru Takahashi, Tohru Nozaki, Eiji J Arrhythm Case Report A 76-year-old woman with sarcoidosis who had an implantable pacemaker for complete atrioventricular block was admitted with syncope. Electrocardiogram revealed ventricular pacing failure, and a marked rise in the ventricular pacing threshold. (18)F-Fluorodeoxyglucose positron emission tomography (FDG-PET) indicated increased uptake of FDG in the ventricular septum. Three days after steroid therapy, the ventricular pacing threshold reverted to normal, and FDG-PET showed decreased FDG uptake in the ventricular septum. In this case report, we demonstrate that a sudden deterioration in the ventricular pacing threshold due to worsening cardiac sarcoidosis can be reversed with early steroid therapy. Elsevier 2017-10 2017-07-26 /pmc/articles/PMC5634719/ /pubmed/29021864 http://dx.doi.org/10.1016/j.joa.2017.06.004 Text en © 2017 Japanese Heart Rhythm Society. Published by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Terui, Yosuke
Nakamura, Akihiro
Endo, Hideaki
Kadosaka, Takahide
Nakata, Takashi
Watanabe, Tasuku
Sato, Kenjiro
Kanazawa, Masanori
Kondo, Masateru
Takahashi, Tohru
Nozaki, Eiji
Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis
title Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis
title_full Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis
title_fullStr Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis
title_full_unstemmed Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis
title_short Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis
title_sort sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5634719/
https://www.ncbi.nlm.nih.gov/pubmed/29021864
http://dx.doi.org/10.1016/j.joa.2017.06.004
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