Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter
| Autor: | Amrish Deshmukh, Cevher Ozcan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Case Reports in Cardiology, Vol 2017 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2090-6404 2090-6412 |
| DOI: | 10.1155/2017/4201942 |
| Popis: | Sinus node dysfunction with symptomatic bradycardia or chronotropic incompetence is generally an indication for pacemaker implantation. However, in patients with symptomatic sinus bradycardia, the identification and treatment of underlying pathologies may avoid the need for permanent pacemaker implantation. We present a case of carotid sinus syndrome and severe obstructive sleep apnea due to a massive multinodular goiter in a patient who presented with recurrent sinus pauses and syncope. The patient was managed without pacemaker implantation but instead with thyroidectomy resulting in decompression of the carotid sinus and airway and resolution of bradycardic episodes. |
| Databáze: | Directory of Open Access Journals |
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