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Japanese

Usefuhness of a VDD Pacemaker Holter Function for the Diagnosis and Treatment of Arrhythmias Atsuko Suzuki 1 , Haruo Miyata 1 , Toru Sugiura 1 , Motohiro Oshiumi 1 , Sosuke Miyazawa 1 , Jun Narumi 1 1Division of Cardiology, Seirei Mikatahara Hospital Keyword: ペースメーカ , VDD , ホルター機能 , cardiac pacemaker , VDD , Holter function pp.1041-1045
Published Date 1998/10/15
DOI https://doi.org/10.11477/mf.1404901784
  • Abstract
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Recently cardiac pacemakers with Holter function have been developed in order to help the management of pacemaker implanted patients.

We reported 2 patients, whose arrhythmias were able to be diagnosed with the Holter function of a VDD pacemaker long after the implantation of their pace-makers.

Case 1. A 69-year-old woman with dilated car-diomyopathy was implanted with a VDD pacemaker because of complete atrio-ventricular block.

She suffered from palpitation, vomitting, cold sweat and loss of consciousness eight months after the im-plantation of pacemaker. Her ECG showed wide QRS tachycardia of heart rate, 200/min. Atrioventricular dissociation was found from the pacemaker Holter record, and the arrhythmia was diagnosed as ventricular tachycardia. After administration of amiodarone, she recovered and her recovery has been maintained.

Case 2. A 77-year-old man was implanted with a VDD pacemaker because of complete atrio-ventricular block. On the occasion of a regular check-up at a pacemaker clinic, paroxysmal atrial fibrillation was found from episodes in the pacemaker Holter record. After adminis-tration of digoxin. he recovered and his recovery has been maintained.

In these cases, the pacemaker Holter function was useful for the diagnosis and treatment of arrhythmias of patients implanted with cardiac pacemakers.


Copyright © 1998, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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