Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing?

Left ventricular (LV) systolic dysfunction leading to heart failure (HF) is known to occur after permanent pacemaker implantation (PPI) in a subset of patients. They are often treated by upgradation of the pacemaker to cardiac resynchronisation therapy (CRT). We report a case of progressive LV dysfu...

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Autores principales: Bera, Debabrata, Yalagudri, Sachin, Devidutta, Soumen, Saggu, Daljeet Kaur, Ali, Zakir, Narasimhan, Calambur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697490/
https://www.ncbi.nlm.nih.gov/pubmed/31233835
http://dx.doi.org/10.1016/j.ipej.2019.06.001
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author Bera, Debabrata
Yalagudri, Sachin
Devidutta, Soumen
Saggu, Daljeet Kaur
Ali, Zakir
Narasimhan, Calambur
author_facet Bera, Debabrata
Yalagudri, Sachin
Devidutta, Soumen
Saggu, Daljeet Kaur
Ali, Zakir
Narasimhan, Calambur
author_sort Bera, Debabrata
collection PubMed
description Left ventricular (LV) systolic dysfunction leading to heart failure (HF) is known to occur after permanent pacemaker implantation (PPI) in a subset of patients. They are often treated by upgradation of the pacemaker to cardiac resynchronisation therapy (CRT). We report a case of progressive LV dysfunction and HF after PPI. Cardiac (18)FDG-PET-CT scan revealed abnormal myocardial FDG uptake suggestive of cardiac sarcoidosis (CS). Biopsy from FDG avid lymph node demonstrated non-caseating granuloma. Therapy with steroids resulted in resolution of HF symptoms accompanied by a significant improvement in LV function.
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spelling pubmed-66974902019-08-19 Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing? Bera, Debabrata Yalagudri, Sachin Devidutta, Soumen Saggu, Daljeet Kaur Ali, Zakir Narasimhan, Calambur Indian Pacing Electrophysiol J Case Report Left ventricular (LV) systolic dysfunction leading to heart failure (HF) is known to occur after permanent pacemaker implantation (PPI) in a subset of patients. They are often treated by upgradation of the pacemaker to cardiac resynchronisation therapy (CRT). We report a case of progressive LV dysfunction and HF after PPI. Cardiac (18)FDG-PET-CT scan revealed abnormal myocardial FDG uptake suggestive of cardiac sarcoidosis (CS). Biopsy from FDG avid lymph node demonstrated non-caseating granuloma. Therapy with steroids resulted in resolution of HF symptoms accompanied by a significant improvement in LV function. Elsevier 2019-06-22 /pmc/articles/PMC6697490/ /pubmed/31233835 http://dx.doi.org/10.1016/j.ipej.2019.06.001 Text en © 2019 Indian Heart Rhythm Society. Production and hosting 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
Bera, Debabrata
Yalagudri, Sachin
Devidutta, Soumen
Saggu, Daljeet Kaur
Ali, Zakir
Narasimhan, Calambur
Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing?
title Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing?
title_full Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing?
title_fullStr Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing?
title_full_unstemmed Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing?
title_short Severe left ventricular systolic dysfunction after permanent pacemaker implantation: Should we pause before upgrading to biventricular pacing?
title_sort severe left ventricular systolic dysfunction after permanent pacemaker implantation: should we pause before upgrading to biventricular pacing?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697490/
https://www.ncbi.nlm.nih.gov/pubmed/31233835
http://dx.doi.org/10.1016/j.ipej.2019.06.001
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