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Sang Woon Park, Hye Jin Noh, Kee Suk Nam, Se Woon Ham, Kyung Deuk Hong, Kyung Duk Lee, Hong Soon Lee |
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서울의대 내과 |
| 증례 : 3도 방실전도 차단 환자에서 절연손상으로 인한 자세변화에 따른 조율 장애 1예 (Case Reports : Pacemaker malfunction related to insulation break according to position change in a patient with complete AV block) |
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박상운, 노혜진, 남기석, 함세운, 홍경득, 이경덕, 이홍순 |
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| Abstract |
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A 53 year-old woman presented with intermittent dizziness and palpitation. She had received VVI
type pacemaker due to complete AV block in 1990, and exchanged by VVIR type pacemaker thirteen
years later. 1 year later, she suffered intermittent dizziness and palpitation in erect position, not in
supine position. Intermittent pacing failure and sensing failure was observed in pacemaker test,
especially in erect position, not in supine position. Pacing threshold was increased in erect position,
but lead impedance was not changed. Insulation break was observed in bipolar lead by fluoroscope.
Initially we tried a new lead implantation by cephalic access to prevent lead related complication, but
failed. So, we implanted a new bipolar lead by subclavian access. Finally, she was treated by a new
bipolar lead implantation.(Korean J Med 70:84-89, 2006)
Key Words : Complete AV block, Artificial cardiac pacing, Insulation break |
| Key Words:
Complete AV block, Artificial cardiac pacing, Insulation break |
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