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

Autor: Debabrata Bera, Sachin Yalagudri, Soumen Devidutta, Daljeet Kaur Saggu, Zakir Ali, Calambur Narasimhan
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 19, Iss 4, Pp 161-163 (2019)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/j.ipej.2019.06.001
Popis: 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 18FDG-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. Keywords: CRT upgradation, Cardiac sarcoidosis, Pacemaker induced LV dysfunction, Steroids
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