thumb procedimento marcapasso

Hoje o dia foi de estimulação cardíaca – 9 procedimentos de implantes de marcapasso e desfibrilador

15 de março de 2023

Síncope de repetição

Publicado por Marcelo Carrijo

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Paciente de 69 anos apresentando síncopes com característica liga-desliga há 6 meses geralmente na posição sentado.

Na propedêutica excluída cardiopatia estrutural, isquemia miocárdica, alterações metabólicas e patologias neurológicas.

Eletrocardiograma dentro dos padrões da normalidade e Holter sem evidência de taquiarritmias ou bloqueios.

O eletrocardiograma foi realizado durante massagem do seio carotideo.

O seio carotideo é um receptor de pressão localizado no pescoço que participa da regulação dos batimentos cardíacos e da pressão arterial.

Principalmente em homens idosos este barorreceptor pode se tornar disfuncionante com respostas exacerbadas causando episódios de bradicardia e/ou hipotensão: é a Hipersensibilidade do seio carotídeo.

O eletrocardiograma evidencia pausa -assistolia- de 10,4 segundos durante a compressão do seio carotideo com reprodução do sintoma de síncope.

Apesar de considerada uma doença benigna, do ponto de vista de mortalidade, é responsável por traumas potencialmente graves.

Foi, portanto, submetido a implante de marcapasso cardíaco definitivo.

Clínica de Arritmias em Uberlândia Dr. Marcelo Carrijo

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