RESUMO
We describe a 65-year-old man who had had a permanent cardiac pacemaker implanted in 1994 and presented now with ascites. He was investigated for 3 months without finding any cause. He was admitted with a colonic bleed due to a polyp; on cardiac evaluation he was found to have pacemaker syndrome. After adjusting the pacemaker settings his ascites and pleural effusion (which had developed later) disappeared.
Assuntos
Idoso , Ascite/etiologia , Estimulação Cardíaca Artificial/efeitos adversos , Diagnóstico Diferencial , Eletrocardiografia , Humanos , Masculino , Marca-Passo Artificial/efeitos adversos , Insuficiência da Valva Tricúspide/etiologiaRESUMO
An 80-year-old woman presented with almost daily episodes of tachycardia. She was found to have drug refractory atrioventricular nodal re-entry tachycardia. As she was found to have bilateral common iliac vein occlusion, radiofrequency ablation of the slow pathway was performed via the subclavian vein. This unique experience raises technical issues for catheter positioning.