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Utility of the NavX® Electroanatomic Mapping System for Permanent Pacemaker Implantation in a Pregnant Patient with Chagas Disease.

Velasco A, Velasco VM, Rosas F, Cevik C, Morillo CA - Indian Pacing Electrophysiol J (2013)

Bottom Line: Early cardiac involvement is one of the most serious complications of this disease, and conduction disturbances may occur at an early age.We describe a young pregnant woman with Chagas disease and a high degree atrioventricular block, who required implantation of a permanent dual chamber pacemaker.This case demonstrates the safety and feasibility of using an electroanatomic navigation system to guide permanent pacemaker implantation minimizing x-ray exposure in pregnant patients.

View Article: PubMed Central - PubMed

Affiliation: Internal Medicine Department. Texas Tech University Health Sciences Center, Lubbock, Texas. USA.

ABSTRACT
Chagas disease is a highly prevalent zoonosis in Mexico, Central, and South America. Early cardiac involvement is one of the most serious complications of this disease, and conduction disturbances may occur at an early age. We describe a young pregnant woman with Chagas disease and a high degree atrioventricular block, who required implantation of a permanent dual chamber pacemaker. Using an electroanatomic navigation EnSite NavX® system the pacemaker was successfully implanted with minimal fluoroscopic exposure. This case demonstrates the safety and feasibility of using an electroanatomic navigation system to guide permanent pacemaker implantation minimizing x-ray exposure in pregnant patients.

No MeSH data available.


Related in: MedlinePlus

Twelve-lead electrocardiogram at presentation shows a third degree AV block
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Figure 1: Twelve-lead electrocardiogram at presentation shows a third degree AV block

Mentions: A 33 -year-old pregnant woman was referred with the diagnosis of bradycardia. She presented with a 2 months history of fatigue; during that time she was found to have positive antibodies for Chagas disease. At the time of admission she had a 31 weeks gestation. Her past medical history was only remarkable for a previous cesarean section. At physical exam a resting heart rate of 33 bpm was noted, and her ECG showed a third degree AV block (Figure 1). By Ultrasound the fetus showed intrauterine growth delay.


Utility of the NavX® Electroanatomic Mapping System for Permanent Pacemaker Implantation in a Pregnant Patient with Chagas Disease.

Velasco A, Velasco VM, Rosas F, Cevik C, Morillo CA - Indian Pacing Electrophysiol J (2013)

Twelve-lead electrocardiogram at presentation shows a third degree AV block
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3539398&req=5

Figure 1: Twelve-lead electrocardiogram at presentation shows a third degree AV block
Mentions: A 33 -year-old pregnant woman was referred with the diagnosis of bradycardia. She presented with a 2 months history of fatigue; during that time she was found to have positive antibodies for Chagas disease. At the time of admission she had a 31 weeks gestation. Her past medical history was only remarkable for a previous cesarean section. At physical exam a resting heart rate of 33 bpm was noted, and her ECG showed a third degree AV block (Figure 1). By Ultrasound the fetus showed intrauterine growth delay.

Bottom Line: Early cardiac involvement is one of the most serious complications of this disease, and conduction disturbances may occur at an early age.We describe a young pregnant woman with Chagas disease and a high degree atrioventricular block, who required implantation of a permanent dual chamber pacemaker.This case demonstrates the safety and feasibility of using an electroanatomic navigation system to guide permanent pacemaker implantation minimizing x-ray exposure in pregnant patients.

View Article: PubMed Central - PubMed

Affiliation: Internal Medicine Department. Texas Tech University Health Sciences Center, Lubbock, Texas. USA.

ABSTRACT
Chagas disease is a highly prevalent zoonosis in Mexico, Central, and South America. Early cardiac involvement is one of the most serious complications of this disease, and conduction disturbances may occur at an early age. We describe a young pregnant woman with Chagas disease and a high degree atrioventricular block, who required implantation of a permanent dual chamber pacemaker. Using an electroanatomic navigation EnSite NavX® system the pacemaker was successfully implanted with minimal fluoroscopic exposure. This case demonstrates the safety and feasibility of using an electroanatomic navigation system to guide permanent pacemaker implantation minimizing x-ray exposure in pregnant patients.

No MeSH data available.


Related in: MedlinePlus