Ully penetrated utilizing the Terumo wire then we performed venoplasty
Ully penetrated using the Terumo wire and then we performed venoplasty making use of REEF HP balloon . x mm that was inflated to atm for to seconds. Pacemaker implantation procedure was then completed without the need of further dificulty and there were no complications afterwards.PP . Tachycardia Mediated Cardiomyopathy due to Atrioventricular Reentrant Tachycardia and Atrial FibrillationSerial CasesNovi Ariyanti, Dicky A. Hanafy, Sunu Budhi Raharjo, Yoga Yuniadi Division of Arrhythmia, Department of Cardiology and Vascular Medicine, University of Indonesia National Cardiovascular Center Harapan KitaPP . Reel Syndrome in an Obese Woman with Total Atrioventricular Block A Case ReportPutri Septiani, Risalina Myrtha, Heru Sulastomo, M Triadhy Nugraha Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sebelas MaretPacemaker implantation may possibly result in undesirable complications. The complications consist of bleeding, infection, dislodgement, skin erosion, etc. Reel syndrome is 1 kind of lead retraction and dislodgement. Case IllustrationA years old obese postpartum woman came with shortness of breath for days following delivering infant with caesarean section. She was referred to our hospital with the diagnosis of third degree atrioventricular block. The physical examination and chest radiography revealed bradycardia (beatsmin), tachypnea and signs of congestion. The electrocardiogram (ECG) showed total atrioventricular block (TAVB) with P price bpm and QRS price bpm. A concentric left ventricular hypertrophy with ejection fraction was discovered from echocardiography. Soon after therapy, there was an improvement for the heart failure however the TAVB nonetheless persisted devoid of any symptom. The patient got a permanent pacemaker (PPM) then. 1 month just after the implantation, we found her ECG recording of TAVB once more. The following chest radiography revealed the reeling and retraction from the lead around the generator. We diagnosed reel syndrome and we did lead repositioning.Tachycardia mediated cardiomyopathy (TMC) is a reversible type of dilated cardiomyopathy that may take place with most supraventricular and ventricular arrhythmias. It really is normally observed in sufferers with no preceding structural heart disease, it may be accountable for ventricular dysfunction aggravation in these with underlying heart illness. Tachycardia mediated cardiomyopathy remains poorly understood and is most likely underdiagnosed. Case IllustrationThe initially case, a year old man with chief complaint PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26132904 palpitation came to emergency division of National Cardiovascular Center Harapan Kita (NCCHK). His electrocardiography (ECG) showed narrow QRS complicated tachycardia suggesting SVT and there’s delta wave in the course of sinus rhytm, so we diagnosed as WolffParkinsonWhite (WPW) syndrome. Echocardiography revealed dilated left ventricle (LV) with ejection fraction (EF)
. Angiography showed non buy trans-ACPD important stenosis. Right anterior accessory pathway ablation was performed. Through stick to up, electrocardiography (ECG) showed disappearance of delta wave, regular PR interval and QRS duration and echocardiogram showed improvement LVEF. Second case, a year old male came towards the outpatient clinic NCCH having a chief complain of irregular palpitation considering that much more than year ago. ECG revealed atrial fibrillation with normal ventricular response. His coroangiogaphy showed normal coroner. Echocardiogram showed dilated left ventricle (LV) with ejection fraction and dilated left atrium diameter. 3 dimension AF ablation was carried out, rhyt.