OBJECTIVE The aim of this report was to discuss the type, timing, and surgical techniques of permanent pacemaker implantation in a juvenile patient. PATIENTS A 17-year-old girl with Down syndrome and congenital heart defects comprised of ventricular septal defects (VSD) and patent ductus arteriosus (PDA) suffered from postoperative complete atrioventricular block (AVB) when she was 7 months o...

BACKGROUND The efficacy and safety of rigid pericardial endoscopy as the promising minimally invasive approach to the pericardial space was evaluated. Techniques for cell transplantation, epicardial pacemaker lead implantation, and epicardial ablation were developed. METHODS Two swine and 5 canines were studied to evaluate the safety and efficacy of rigid pericardial endoscopy. After a double...

The study by Balmer et al. in the present issue of Europace lends support to our clinical notion that early intervention is beneficial even to the young individual. The children in this study that received a pacemaker had signs and/or symptoms such as bradycardia, exercise intolerance, syncope or heart failure that were ameliorated by pacemaker implantation. Three patients received a pacemaker ...

AIM To investigate the acute results (parameters at implant and clinical parameters) of permanent pacemaker implantation at our institution. METHODS Twenty five patients undergoing pacemaker implantation were included in this study. Subjects underwent medical history and functional class was assessed using New York Heart Association (NYHA) classification. All technical parameters (pacing thre...

During normal rate programming of a pulse generator from slower to more rapid rates, intervals of output impulse suppression lasting 2 seconds plus the newly programmed interval to a maximum of 3.935 seconds are possible, and are a result of the pulse interval control system. These occur if programming falls within the susceptible window (the period between the existing interval and the new one...

AIMS After decades of experience and strongly improved technology, service time of pacemaker generators is expected to increase. To test this hypothesis, we conducted a retrospective review of a large cohort of patients with a pacemaker. METHODS We reviewed data collected between 1984 and 2006 in the first national Dutch pacemaker registry. This registry covered 96% of all generators implante...

Abstract Introduction Takotsubo syndrome is a clinical characterized by typical anamnestic features together with ECG and echocardiographic findings. Comparing the available literature not so many cases of takotsubo after pacemaker implantation can be found. Furthermore, there are only few articles talking about in these patient. The case we described allows to observe dynamic alterations patie...