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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

Chest x-ray demonstrates adequate position of the atrial and ventricular leads after delivery of pregnancy
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Figure 3: Chest x-ray demonstrates adequate position of the atrial and ventricular leads after delivery of pregnancy

Mentions: Six months after the procedure the pacemaker was functioning correctly (atrial pacing < 1%, ventricular pacing > 99%, impedance A: 378 ohms V: 384 ohms, atrial threshold <0.25V and ventricular threshold 0.75 V). The baby was uneventfully delivered at term by a cesarean section. The position of the leads was confirmed after delivery with a chest x-ray (Figure 3). The newborn had a positive serology for Chagas disease and was treated with Benznidazol 5 mg/kg/d for 30 days.


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)

Chest x-ray demonstrates adequate position of the atrial and ventricular leads after delivery of pregnancy
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Chest x-ray demonstrates adequate position of the atrial and ventricular leads after delivery of pregnancy
Mentions: Six months after the procedure the pacemaker was functioning correctly (atrial pacing < 1%, ventricular pacing > 99%, impedance A: 378 ohms V: 384 ohms, atrial threshold <0.25V and ventricular threshold 0.75 V). The baby was uneventfully delivered at term by a cesarean section. The position of the leads was confirmed after delivery with a chest x-ray (Figure 3). The newborn had a positive serology for Chagas disease and was treated with Benznidazol 5 mg/kg/d for 30 days.

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