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KMID : 0368119940240060916
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Korean Circulation Journal
1994 Volume.24 No. 6 p.916 ~ p.921
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A Case of Pacemaker Syndrome
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장용우
임장근/강천수/김미옥/김형권/강남욱/오성욱/강창원/심원보
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Abstract
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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 andsymptoms related to the adverse hemodynamic and electrophysiologic consequences of ventricular pacing in the absence of other causes. Neurologic symptoms or those of congestive heart failure predominated.
We recently experienced a case of pacemaker syndrome in a 44-year-old female who had suffered sick sinus snydrome 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 90/60mmHg. Electrocardiography showed to P wave on T wave, representing retrograde ventriculoatrial conduction. The symptoms and signs were disappeared
immediately
after the pacing system was programmed to DDD pacing.
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