An implantable defibrillator with dual-chamber pacing for a dialysis patient with diminished cardiac function following coronary artery bypass grafting and mitral valve replacement and maintenance of an acceptable level of activities of daily living
-
- Fujiu Ayuko
- Shinjuku Koshin Clinic
-
- Aoki Akiko
- Shinjuku Koshin Clinic
-
- Yasuda Masako
- Shinjuku Koshin Clinic
-
- Tanaka Yoshiko
- Shinjuku Koshin Clinic
-
- Nagashima Hirotaka
- Tokyo Heart Center
-
- Ueno Hideki
- Tokyo Heart Center
-
- Sagara Koichi
- Cardiovascular Institute Hospital
-
- Suzuki Shinya
- Cardiovascular Institute Hospital
-
- Hirano Keiko
- Cardiovascular Institute Hospital
-
- Akiba Takashi
- Department of Blood Purification, Kidney Center, Tokyo Women's Medical University
-
- Nitta Kosaku
- Department IV of Internal Medicine, Tokyo Women's Medical University
Bibliographic Information
- Other Title
-
- 冠動脈バイパス術,僧帽弁人工弁置換術後の低心機能透析患者に両室ペーシング機能付き植え込み型除細動器を装着し良好なADLを維持している1症例
- 症例報告 冠動脈バイパス術,僧帽弁人工弁置換術後の低心機能透析患者に両室ペーシング機能付き植え込み型除細動器を装着し良好なADLを維持している1症例
- ショウレイ ホウコク カンドウミャク バイパスジュツ ソウボウベン ジンコウベン チカン ジュツゴ ノ テイ シンキノウ トウセキ カンジャ ニ リョウシツ ペーシング キノウ ツキ ウエコミガタ ジョサイドウキ オ ソウチャクシ リョウコウナ ADL オ イジシテイル 1 ショウレイ
Search this article
Abstract
This report describes a 72-year-old male who was initiated on hemodialysis in January 2006 because of chronic renal failure (original disease unknown). Following coronary artery bypass grafting (CABG) and mitral valve replacement (MVR), the patient was found to have diminished cardiac function, and was, therefore, initiated on hemodiafiltration ; however, during the procedure, marked hypotension occurred and the patient developed intradialytic symptoms. Therapy was thus changed to acetate-free dialysis (acetate-free biofiltration, or AFB) in August of the same year, but the patient showed sporadic premature ventricular contractions (PVCs) during dialysis and also hypotension, with persistence of the intradialytic symptoms. After medication for tachycardia, the patient required a backup pacemaker ; since he also had diminished cardiac function, a widened QRS duration and ventricular tachycardia (VT), implantation of an implantable defibrillator with dual-chamber pacing (cardiac resynchronization therapy defibrillator, or CRT-D) was deemed indicated. CRT-D implantation was conducted on September 15, 2006, with cardiovascular improvement being noted following the dual-chamber pacing. Echocardiography demonstrated improvement of the left ventricular diastolic diameter (LVDd), left ventricular mass (LVM) and cardiac function. The intradialytic hypotension and difficulty in ambulation decreased and VT also ceased to appear, allowing consistent dialysis.
Journal
-
- Nihon Toseki Igakkai Zasshi
-
Nihon Toseki Igakkai Zasshi 42 (1), 105-111, 2009
The Japanese Society for Dialysis Therapy
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390282679654878208
-
- NII Article ID
- 10024930239
-
- NII Book ID
- AN10432053
-
- ISSN
- 1883082X
- 13403451
-
- NDL BIB ID
- 9803667
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed