Journal List > Korean Circ J > v.24(6) > 1073085

TOOLS
Jang, Ihm, Kang, Kim, Kim, Kang, Oh, Kang, and Shim: A Case of Pacemaker Syndrome
Case Report
Korean Circulation Journal

Korean Circulation Journal 1994; 24(6): 916-921.

Published online: 31 December 1994

DOI: https://doi.org/10.4070/kcj.1994.24.6.916

A Case of Pacemaker Syndrome

Yong Woo Jang, M.D., Jang Keun Ihm, M.D., Chun Soo Kang, M.D., Mee Ok Kim, M.D., Hyeong Kweon Kim, M.D., Nam Wook Kang, M.D., Sung Wook Oh, M.D., Chang Won Kang, M.D., Won Bo Shim, M.D.

Copyright © 1994 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although ventricular pacing alone initially had deemed adequate for most clinical situations, some patients did not do well after ventricular pacing was initiated, and developed various symptoms attributed to this mode of pacing. The pacemaker syndrome is complex of clinical signs and symptoms related to the adverse hemodynamic and electrophysiologic consequences of ventricular pacing in the absence of other causes. Neurologic symptoms or those congestive heart failure predominated.
We recently experienced a case of pacemaker syndrome in a 44-year-old female who had suffered sick sinus syndrome and was implanted with dual chamber pacing system being programmed to VVI pacing. She complained of chest discomfort, dyspnea, and near-fainting in a day after being programmed to VVI. Blood pressure was decreased to 9/60mmHg. Electrocardiography showed toPwave onT wave, representing retrograde ventriculoatrial conduction. The symptoms and signs were disappeared immediately after the pacing system was programmed to DDD pacing.

Keywords: Pacemaker syndrome, VA conduction

TOOLS
Similar articles