Journal of Yeungnam Medical Science
- Volume 11 Issue 1
- /
- Pages.181-185
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- 1994
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- 2799-8010(eISSN)
A Case of Disappearing Symptoms Developed Repetitively in a Complete Atrioventricular Block Patient Implanted Bipolar Permanent Pacemaker After Converting It into Unipolar System
완전방실블록 환자에서 쌍극의 영구박동기를 이식후 반복 발생된 증상이 단극으로 전환후 증상이 소실된 예
- Kweon, Jun-Young (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Choi, Kyo-Won (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Sin, Dong-Gu (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Kim, Young-Jo
(Department of Internal Medicine, College of Medicine, Yeungnam University)
;
- Shim, Bong-Sup (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Lee, Hyun-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University)
- 권준영 (영남대학교 의과대학 내과학교실) ;
- 최교원 (영남대학교 의과대학 내과학교실) ;
- 신동구 (영남대학교 의과대학 내과학교실) ;
-
김영조
(영남대학교 의과대학 내과학교실)
;
- 심봉섭 (영남대학교 의과대학 내과학교실) ;
- 이현우 (영남대학교 의과대학 내과학교실)
- Published : 1994.06.30
Abstract
Pacemaker malfunctions are secondary to alterations of the preset pacing rate, irregular pacing failure of sensing, failure of cardiac capture or depolarization, and various combinations of these events. A 76 years old male patient was admitted due to pacemaker malfunction. 2 years ago, he was diagnosed as complete atrioventricular block. And then bipolar permanent pacemaker was implanted. Since then syncopal attack developed repetitivly. 12 lead ECG and 24 hour holter moniter monitoring, revealed pacing and sensing failure, thus we converted bipolar system into unipolar system. Since then syncopal attack did not developed again.
저자들은 완전방실블록 환자에서 쌍극의 영구심장박동기를 이식후에도 계속되는 실신발작을 보여 단극의 영구심장박동기로 바꾼 후 그 증상이 소실된 예를 경험하였기에 이를 보고하는 바이다.
Keywords