Increased heart rate caused by atrial pacing with the closed-loop stimulation function prevented micturition syncope

Autor: Tatsuo Haraki, MD,PhD, Hiroaki Hirase, MD, Kentaro Kitazaki, BA, Norio Ishikawa, PhD
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Arrhythmia, Vol 29, Iss 5, Pp 284-286 (2013)
Druh dokumentu: article
ISSN: 1880-4276
DOI: 10.1016/j.joa.2013.01.015
Popis: A 70-year-old man had been experiencing syncope several times a year. We implanted a DDD pacemaker with closed-loop stimulation (CLS) function. When he urinated early in the morning, his increased atrial pacing rates elevated his heart rate (HR) during and after micturition. After implantation of the DDD-CLS mode, he did not experience symptoms. In contrast, in the DDD-R mode, his intrinsic HR changed to atrial pacing after micturition but decreased to the basal rate within 2 min, and he experienced a sense of cold perspiration and presyncope. Increased HRs caused by atrial pacing with the CLS function were useful in the prevention of micturition syncope.
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