Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Right heart failure after pacemaker implantation
Journal Information
Vol. 144. Issue 12.
Pages 550-552 (June 2015)
Share
Share
Download PDF
More article options
ePub
Visits
27
Vol. 144. Issue 12.
Pages 550-552 (June 2015)
Clinical report
Right heart failure after pacemaker implantation
Insuficiencia cardiaca derecha tras el implante de un marcapasos
Visits
...
Juan Gallego Galiana
Corresponding author
juan_gallego_galiana@yahoo.es

Corresponding author.
, Genoveva López Castellanos, Francesca Gioia, Raúl Antonio Ruiz Ortega, Maria Eugenia Cobo Reinoso, Luis Manzano Espinosa
Servicio de Medicina Interna, Hospital Ramón y Cajal, Madrid, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Abstract
Background and objective

Severe tricuspid regurgitation (TR) secondary to interference pacemaker (PM) cable is a rare cause of progressive right heart failure (HF), which can worsen patient outcomes.

Material and methods

We present 3 clinical cases of right HF secondary to TR after PM implantation.

Results

In these patients the clinic is right HF, which can appear early, as in our second patient, or after years of implementation of the PM, as in the first and third patients. The diagnosis is confirmed by echocardiography, the most accurate 3D, followed by transesophageal. The 2D transthoracic cannot detect it, because it has low sensitivity for TR associated with PM. Medical treatment is always the first choice, since any other procedure carries significant morbidity and mortality.

Conclusions

Probably this is a condition that we will diagnose with increasing frequency, because there are more and more patients with devices and, at the same time, the diagnostic tools are improving.

Keywords:
Right heart failure
Tricuspid regurgitation
Pacemaker
Echocardiography
Resumen
Fundamento y objetivo

La insuficiencia tricuspídea (IT) grave secundaria a interferencia del cable del marcapasos (MCP) es una causa infrecuente de insuficiencia cardiaca (IC) derecha progresiva, que puede complicar la evolución del paciente.

Material y métodos

Presentamos 3 casos clínicos de IC derecha secundaria a IT tras implantación de MCP.

Resultados

En estos pacientes la clínica consiste en IC derecha, que puede aparecer de forma precoz, como en nuestra segunda paciente, o al cabo de años de la implantación del MCP, como en el primer y la tercera pacientes. El diagnóstico se confirma por ecocardiografía, siendo la más precisa la 3D, seguida de la transesofágica. La 2D transtorácica puede no detectarla, ya que tiene baja sensibilidad para la IT asociada a MCP. El tratamiento médico es siempre la primera opción, ya que cualquier otro procedimiento conlleva una morbimortalidad significativa.

Conclusiones

Probablemente, esta es una patología que vamos a diagnosticar cada vez con más frecuencia, ya que cada vez hay más pacientes con dispositivos y, al mismo tiempo, están mejorando las herramientas diagnósticas.

Palabras clave:
Insuficiencia cardiaca derecha
Insuficiencia tricuspídea
Marcapasos
Ecocardiografía

Article

These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Clínica (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos