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Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report

by Hong, Xia , Chung, Roy , Su, Lan , Zhao, Chuhuan , Zhou, Xi , Xu, Lei , Feng, Xiafei , Huang, Weijian , Jiang, Limeng , Wang, Liangguo , Wu, Shengjie

in Adult / Angiology / Arrhythmia / Arrhythmias and Electrophysiology / Arrhythmias, Cardiac / Atrioventricular block / Blood Transfusion Medicine / Bundle of His / Cardiac arrhythmia / Cardiac resynchronization therapy / Cardiac Surgery / Cardiology / Care and treatment / Case Report / Complications and side effects / Diagnosis / Echocardiography / Ejection fraction / Electrocardiography / Extracorporeal membrane oxygenation / Fulminant myocarditis / Heart Atria / Heart block / Heart diseases / Heart failure / Hemodynamics / His bundle pacing / Humans / Internal Medicine / Kinases / Laboratories / Male / Medicine / Medicine & Public Health / Methods / Myocarditis / Myocarditis - complications / Myocarditis - diagnosis / Myocarditis - therapy / Pacemaker, Artificial / Pacemakers / Patient outcomes / Physiology / Sinuses / Synchronization / Velocity / Ventricle

2022

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Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report

by Hong, Xia , Chung, Roy , Su, Lan , Zhao, Chuhuan , Zhou, Xi , Xu, Lei , Feng, Xiafei , Huang, Weijian , Jiang, Limeng , Wang, Liangguo , Wu, Shengjie

2022

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Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report

by Hong, Xia , Chung, Roy , Su, Lan , Zhao, Chuhuan , Zhou, Xi , Xu, Lei , Feng, Xiafei , Huang, Weijian , Jiang, Limeng , Wang, Liangguo , Wu, Shengjie

2022

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Journal Article

Atrial-His bundle pacing in fulminant myocarditis with ventricular arrhythmia: a case report

Hong, Xia,

Chung, Roy,

Su, Lan,

Zhao, Chuhuan,

Zhou, Xi,

Xu, Lei,

Feng, Xiafei,

Huang, Weijian,

Jiang, Limeng,

Wang, Liangguo,

Wu, Shengjie

2022

Overview

Background Fulminant myocarditis is a clinical syndrome associated with threatening dysrhythmia which temporary pacemaker can be used for life-saving support. As a method of physiological pacing, His bundle pacing (HBP) maintain better cardiac synchronization than traditional right ventricular (RV) pacing. Case presentation It’s a severe case of fulminant myocarditis in a 41-year-old patient who presented for recurrent arrhythmias with hemodynamic instability. Temporary His bundle pacing combined with optimal medical therapy and extracorporeal membrane oxygenators (ECMO) supported him through his critical period of hospitalization. Conclusions During 1-year follow up, the cardiac function recovery was obvious without any pacing related complications. Echocardiography showed better atrioventricular and intra-ventricular synchronization during HBP in DDD mode. This is the first reported case of temporary His-purkinje conduction system pacing used for severe fulminant myocarditis.

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Publisher

BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC

Subject

Adult

/ Angiology

/ Arrhythmia

/ Arrhythmias and Electrophysiology

/ Arrhythmias, Cardiac

/ Atrioventricular block

/ Blood Transfusion Medicine